Claim no.
Details of claim (continued)
Statement of Truth
*(I believe)(The Claimant believes) that the facts stated in these particulars of claim are true.
* I am duly authorised by the claimant to sign this statement.
Full name
Name of claimant’s legal representative’s rm
signed
*(Claimant)(Litigation friend)
(Legal representative)
position or oce held
(if signing on behalf of rm or company)
*delete as appropriate
Claimant’s or claimant’s legal representative’s
address to which documents should be sent if
dierent from overleaf. If you are prepared to
accept service by DX, fax or e-mail, please add
details.
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personal-information-charter