IN THE CONSUMER DISPUTES
REDRESSAL DISTRICT FORUM AT.........................
Consumer Complaint
No..................... of 19....................
A. B. (add description and
residence).............................. Complainant/Complainants
versus
C. D. (add
description and residence)..................... Opposite Party/Opposite Parties
To
The Hon’ble President and his companion
members of the District Forum Sirs,
The Complainant/Complainants
named above respectfully submits/submit as follows:
1. All facts relating to the
complaint, particulars, place, date etc. are to be stated.
2.
3.
4. Details
regarding cause of action at the place where the complaint is being filed.
5. Details
relating to jurisdiction and value of goods/services and compensation claim are
to be given. (The value of goods/services and compensation claimed should not
exceed Rs..................... Ten Lakhs).
6. Prayer
clause with details of relief/reliefs being claimed are to be stated.
Place....................
Complainant/Complainants
Date....................
In person or through Counsel
I/We....................
(Complainant/Complainants) son/sons of.................... resident
of.................... do hereby solemnly declare and state that the contents
particulars of the complaint stated above are true to the best of knowledge and
belief. Nothing stated therein is false and nothing has been
mis-stated/concealed therein.
Verified at....................
this................. day of.................... 19....................
at....................
Deponent
Annexures
1. ........................
2. ........................
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