A.B., the above named plaintiff, states as follows:–
1. On the …… day of ……. 20……., the plaintiff and defendant, having a difference between them concerning [a
demand of the plaintiff for the price of ten barrels of oil which the defendant refused to pay], agreed in
writing to submit the difference to the arbitration of E.F., and G.H, and the original document is annexed
hereto.
2. On the ……. day of ……… 20, the arbitrators awarded that the defendant should [pay the plaintiff …..
rupees.]
3. The defendant has not paid the money.
[As in paras 4 and 5 of Form No. 1, and relief claimed.]