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Consumer complaint format
BEFORE
THE HON’BLE NATIONAL / STATE / DISTRICT
CONSUMER DISPUTES REDRESSAL COMMISSION/FORUM AT
( CITY ).
COMPLAINT UNDER CONSUMER PROTECTION ACT,
1986.
IN
THE MATTER OF
: (Name and address of
complainant)
.................... COMPLAINANT
VERSUS
(Name and address of the accused)
.................... OPPOSITE PARTY
INTRODUCTION:
A
brief paragraph about the complainant explaining
the name, residence address and occupation of
the complainant.
A
brief paragraph about name, address and
occupation of the opposite party.
RESPECTFULLY
SHOWETH:
1.
Description of the deal and services promised by
the opposite parties for the value paid by the
complainant.
2.
Description of the advertisements given by the
opposite parties which attracted the complainant
to purchase the commodity and services.
TRANSACTION
:
Details
of the price of goods and services.
Details
of the bill/invoice (bill number and date, item
and amount)
Details
of payments made by complainant (cheque
number/cash, etc.)
NATURE
OF COMPLAINT:
(select
from list or write as required)
1.
Misleading advertisements and false
representation.
2.
Cheating by giving false promises.
3.
Deficiency in after sales service or not abiding
by warranty clause.
4.
Harassment by the opposite party.
5.
Not delivering the goods and services for which
payment is made.
6.
Charging excess amount.
7.
Any other factors that affected the consumer.
OTHER
EVIDENCES OF SUPPORT OF COMPLAINT:
Copy
of advertisement and catalogue that promised the
concerned goods and services.
Copy
of bill as evidence of purchase.
Other
documents such as agreement copies, bounced
cheques, opposite parties' letters.
Copy
of letters sent to the opposite party to request
for rectification of fault and settlement of the
grievance.
JURISDICTION:
(Select
one)
As
the total amount involved is more than Rupees 1
crore, the complaint is being filed with the
Hon'ble National Consumer Disputes Redressal
Commission.
OR
As
the total amount involved is more than Rupees 20
lakhs and less than 1 crore, the complaint is
being filed with the Hon'ble State Consumer
Disputes Redressal Commission.
OR
As
the total amount involved is less than Rupees 20
lakhs, the complaint is being filed with the
Hon'ble District Consumer Disputes Redressal
Forum.
PRAYER:
The
complainant therefore prays :-
i)
relief be granted to the complainant as demanded
herein.
ii)
that such orders be passed as the Hon'ble
Consumer Forum may deem fit in the circumstances
of the case.
iii)
that the accused should be punished severely so
that culprits of similar kind would be afraid to
indulge in such criminal activities.
iv)
mention any other statement of prayer you wish
to state.
PLACE
:
Signature
DATED
:
NAME OF THE COMPLAINANT
VERIFICATION
I
(name of complainant), resident of (residential
address) hereby declare that I have not
misrepresented any facts nor have tried to hide
any information in my above complaint. All the
facts mentioned herein are true to the best of
my knowledge.
Name & signature of the complainant
Please
note: The affidavit should be notarized
before further copies of complaint set are made
for submission.
Arrangement
of the complaint papers:
All
papers to be kept in paper file in following
order:
1.
Complaint
2.
Affidavit 3.
List of documents 4.
Documents 5.
Vakalatnama 6.
Application for injunction (if any) 7.
Application for condonation of delay (if any) Page
numbers to be written on lower right corner. Deposit
the complaint file at the consumer court along with appropriate
court fee.
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