1. The defendant was injured by B on July 1, 2009 at the 4th Yacheon-gu, Yacheon-gu, Yacheon-gu, Yacheon-gu, Yacheon-do.
1. Indication of claims: It shall be as shown in attached Form; and
2. Judgment without holding any pleadings (Articles 208 (3) 1 and 257 of the Civil Procedure Act);