Complaint Under Section 11(i)/Section 17/Section 21 of the Consumer Protection Act, 1986
Before the Hon'ble Court
In Re: Complaint No. /2013
X (Full Name and description) ...................Complainant
V.
Y (full name and Description) .............................Opposite Party
Application Under Section 11 (i)/Section 17/Section 21 of the Consumer Protection Act, 1986
[In-line Notes:
S. 11 (1) Jurisdiction of the District Forum
S. 12.Manner in which complaint shall be made
S. 17.Jurisdiction of the State Commission
S. 21.Jurisdiction of the National Commission]
Respectfully showeth:
(1) INTRODUCTION
In this opening paragraph, the complainant/patient should give his introduction as well as that of the opposite party/parties.
This includes, name , son/daughter of....., aged......years, address, occupation, ........
(2) TRANSACTION
In this paragraph, the complainant/patient should describe the transaction complained of, i.e. particulars and details of services availed; kind and nature of service; date of availing of service; amount paid as price; consideration, full or in part towards the service; photocopies of the bill/cash memo/voucher or receipt should be attached and properly marked as Annexure -A, B, C and so forth or 1,2,3 and so forth.
(3) DEFECT DEFICIENCY
In this paragraph, the complainant/patient should explain the grievance i.e whether the loss or damage has been caused by deficiency in service or the doctor has charged excessive fee for the service. One should elucidate the nature of practice adopted by the doctor i.e. relating to the quality of services; the nature and extent of defects in goods should be explained and so should the deficiency in service. One should narrate the grievance and rest assured it is being read/heard by compassionalte and pragmatic judges. Photocopies of relevant documents must be attached.
(4) RECTIFICATION
In this paragraph, the complainant/patient
(5) OTHER PROVISIONS
In the paragraph
(6) EVIDENCE
In this paragraph
(7) JURISDICTION
In this paragraph
(8) LIMITATION
That the present complaint is being filed within the period prescribed under Section 24 A of the Act.
(9) RELIEF CLAIMED
In this paragraph,
(10) PRAYER CLAUSE
It is therefore, most respectfully prayed that this Hon'ble Forum/Commission may kindly be pleased to .......... (Details of relief which complainant wants the Forum/Commission to grant)
Complainant
Through .................
(Advocate or Consumer Association, etc..)
Place:
Date:
Verification
I.................the complainant above-mentioned, do hereby solemnly state that the contents of my complaint are true to the best of my knowledge, information and belief, and no part of it is false and nothing material has been concealed therein.
Date:
Complainant
Before the Hon'ble Court
In Re: Complaint No. /2013
X (Full Name and description) ...................Complainant
V.
Y (full name and Description) .............................Opposite Party
Application Under Section 11 (i)/Section 17/Section 21 of the Consumer Protection Act, 1986
[In-line Notes:
S. 11 (1) Jurisdiction of the District Forum
S. 12.Manner in which complaint shall be made
S. 17.Jurisdiction of the State Commission
S. 21.Jurisdiction of the National Commission]
Respectfully showeth:
(1) INTRODUCTION
In this opening paragraph, the complainant/patient should give his introduction as well as that of the opposite party/parties.
This includes, name , son/daughter of....., aged......years, address, occupation, ........
(2) TRANSACTION
In this paragraph, the complainant/patient should describe the transaction complained of, i.e. particulars and details of services availed; kind and nature of service; date of availing of service; amount paid as price; consideration, full or in part towards the service; photocopies of the bill/cash memo/voucher or receipt should be attached and properly marked as Annexure -A, B, C and so forth or 1,2,3 and so forth.
(3) DEFECT DEFICIENCY
In this paragraph, the complainant/patient should explain the grievance i.e whether the loss or damage has been caused by deficiency in service or the doctor has charged excessive fee for the service. One should elucidate the nature of practice adopted by the doctor i.e. relating to the quality of services; the nature and extent of defects in goods should be explained and so should the deficiency in service. One should narrate the grievance and rest assured it is being read/heard by compassionalte and pragmatic judges. Photocopies of relevant documents must be attached.
In this paragraph, the complainant/patient
(5) OTHER PROVISIONS
In the paragraph
(6) EVIDENCE
In this paragraph
(7) JURISDICTION
In this paragraph
(8) LIMITATION
That the present complaint is being filed within the period prescribed under Section 24 A of the Act.
(9) RELIEF CLAIMED
In this paragraph,
(10) PRAYER CLAUSE
It is therefore, most respectfully prayed that this Hon'ble Forum/Commission may kindly be pleased to .......... (Details of relief which complainant wants the Forum/Commission to grant)
Complainant
Through .................
(Advocate or Consumer Association, etc..)
Place:
Date:
Verification
I.................the complainant above-mentioned, do hereby solemnly state that the contents of my complaint are true to the best of my knowledge, information and belief, and no part of it is false and nothing material has been concealed therein.
Date:
Complainant
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