NATIONAL CONSUMER DISPUTES REDRESSAL COMMISSION
NEW DELHI
PROFORMA FOR FILING CONSUMER COMPLAINT
CONSUMER COMPLAINT NO.________ OF_________
Name and address of the Complainant with telephone number(s) and e-mail:
Name:
Address:
Tel: Mobile No. :
Landline No. :
E-mail :-
Total Consideration paid ₹ ......................................
“the value of the goods or services paid as consideration, exceeds two crore rupees,”
Page No....................
Para No....................
Nature of the consumer dispute involved (To indicate the Category)
Case Category- (Whether Housing, Insurance, Medical, etc.)
Project Name (relates to a housing category) (Indicate page no. where mentioned)
For Refund/Possession/return of principal amount/ interest. (relates to a housing category)
Please Specify Section
If the consumer dispute relates to a housing or land development project, details of the pending Consumer Complaint(s), if any, in respect of the same project.
Details of any pending/disposed of Consumer Complaint, if any, involving identical question of law.
Date of Cause of action
Delay, if any, computing the period of limitation, from the date of the cause of action:
In case of any delay, whether any application for condonation of delay in filing the Consumer Complaint is filed, is attached, with Notarised affidavit
Whether the documents filed are attested true copies?
Whether English translations of all the documents in vernacular, are filed?
Telephone Number(s) (Landline as well as Mobile) and e-mail address(es) of the Opposite Party(ies):
Name, address, telephone Nos. (Landline as well as Mobile) and e-mail address of the Advocate for the Complainant:
VERIFICATION
I, the Complainant / Counsel / Authorised Representiave, above mentioned, do hereby verify that the information provided herein above is true and complete in all respects and nothing material has been concealed therefrom.
Signature of the Complainant /
Counsel / Authorised Representative
