Plaintiff: XXX

Defendant: XXX

(Basic information such as the names/designations of the parties and other litigation participants shall be stated above)

Claims:

Order the defendant to __     ____.  

(Specify the liabilities to be borne by the defendant according to the actual circumstances)

Facts and Reasons:

_____          _ .

(State the basic facts of the case and the legal basis)

To

Nanjing Maritime Court

Plaintiff: XXX (Seal or signature)

Date: