Application to Appeal in Forma Pauperism (O.44, R.1.)
(Title)
I.........,
the above-named, present the accompanying memorandum of appeal from the decree
in the above suit and apply to be allowed to appeal as a pauper.
Annexed
is a full and true schedule of all the movable and immovable property belonging
to me with the estimated value thereof.
Dated
the .........day of ........19...........
(Signed.)
Note--
Where the application is by the plaintiff he should state whether he applied
and was allowed to sue in the Court of first instance as a pauper.