Anticipatory Bail Application

Applicant Details

Name of Applicant Father's/Mother's Name Age Address

Respondent Details

Name of Respondent/Complainant Address of Respondent/Complainant

Case Details

FIR/Crime Number Police Station Offences Alleged (Sections) Date of Alleged Offence Court Name

Grounds for Bail

Facts and Grounds

Prayer

Prayer/Request

Declaration & Verification

Declaration & Verification

Place Date

Signature of Applicant