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CONSUMER COMPLAINT BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM, DISTRICT_____________ CONSUMER COMPLAINT NO. ___________ OF _______ IN THE MATTER OF: LML, Son of _______, of ____ years, Indian Inhabitant, Residing at ______ Carrying on __________ business. ..COMPLAINANT Vs PQR Ltd. having its registered office at ___________________ ..OPPOSITE PARTY COMPLAINT UNDER SECTION 12 OF THE CONSUMER PROTECTION ACT, 1986 MOST RESPECTFULLY SHOWETH: 1.     That the complainant purchased a fax machine bearing model No. ________ from ___________ Company Lt. on ___ of 2002 for a sum of Rs. ___________. 2.     That on _______ date the fax machine was delivered to the complainant and a receipt bearing No ________ for the payment was given by __________. 3.     That the fax machine thereafter developed certain fault for which repeated complaints were made to the opposite party. However, the opposite party made no effort to rectify the said faults. 4.     That on _________ date a written complaint was delivered at the office of the opposite party, in spite of which, the opposite party did not send any service engineer to rectify the faults. A true copy of the said complaint is annexed hereto as Annexure-''A'' 5.     That due to the negligent acts of the opposite party the complainant has suffered loss and injury due to deprivation, harassment, mental agony and loss of professional practice, for which he is entitled to compensation. 6.     That the fax machine has a warranty for a period of _____ years. 7.     That the opposite party is liable for breach of contact as it has not complied with the terms of the guarantee and have acted extremely negligently in attending to the complaint of the complainant and is therefore liable to compensate the complainant for the loss and injury caused to him. 8.     That the cause of action arose on _______ date when the fax machine developed certain faults as mentioned above. The cause of action further arose on _______ date, when a written complaint was filed by the complainant. 9.     That for the purposes of section 11 of the Act, compensation claimed by the complainant is below Rs. __________/- so this forum has jurisdiction to determine and adjudicate this dispute. 10.  That the complainant is a consumer as defined under the act. PRAYER: In the above mentioned facts and circumstances it is most respectfully prayed that the Hon''ble Forum may be pleased to: a.     Order the opposite party to pay Rs. ________ as compensation and Rs. _____________ as costs; b.    Pass any other such order, as this Hon''ble Forum may deem fit and proper in the interests of justice. LML ..Complainant Place: Dated: VERIFICATION: I, ______________, son of _______________, residing at _______________ do hereby solemnly affirm and state that the contents and particulars of the complaint stated above are true and correct to the best of my knowledge and belief and no part of it is false and nothing material has been concealed therein. Verified at __________ on the ___ day of __________ 2002. ..Complainant Download Word Document In English. (Rs.20/-) Download PDF Document In Marathi. (Rs.20/-)

CONSUMER INTERIM ORDER  BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT …………………………… App. No.:______ of 20… in Complaint No.: ______ ………………………………………………………………..……………………Complainant/Applicant  Versus ……………………………..……………………………………………………….Respondent/Non-Applicants  Application for interim order under Section 13 (3B) of Consumer Protection Act, 1986 Respectfully ………………………….  1. That the complainant has filed above complaint in this Hon'ble Forum hearing whereof will take some time. 2. That on perusal of the averments made in the complaint and the documents attached therewith it is amply evident that the complainant/applicant has prima facie a very good case in his favour and the complaint is likely to succeed. The Balance of Convenience is also in favour of the complainant/applicant. 3. That the interest of justice demands that during the tendency of the complaint ____ 4. It is, therefore, prayed that this application may kindly be allowed and ______ in the interest of justice. Such other orders may also be passed in favour of the complainant as deemed fit and proper by this Hon'ble court in the facts and circumstances of the case.  ……………………. Complainant/Applicant _____________ Through, Advocate  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT  ……………………. App No.:______ of 20….. Complaint No: ______ …………………………………………………………………………….…..Complainant/Applicant  Versus ………………………………..………………………………………………….Respondents  Affidavit in support of Application for restoration I, ……………………………………………, do hereby solemnly affirm and declare as under :  1. That accompanying application has been prepared under my instructions.  2. That the contents of paras 1 to _____ of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at ………………………… this the ______.  Deponent  Download Word Document In English. (Rs.30/-)

CONSUMER FOREST COMPLAINT  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………. Complaint No:______ of 20……… ……………………………………………………….…………………………………………………………Complainant  Versus ……………………………………………………………………………………………………………………Respondents  Complaint Under Sec 12 of the Consumer Protection Act 1986 Respectfully ………………….. 1. That the complainant hereinabove has deposited money as under with the Opposite Party:- 2. That when on _________________ the complainant presented the receipt to the respondent, the respondent did not pay the maturity amount. Hence the present complaint. 3. That such an act and omission on the part of the opposite parties amounts to deficiency in service, restrictive trade practice and unfair trade practice under the purview of the Consumers Protection Act. 4. That the complaint is within the period of limitation. 5. That this Hon'ble Forum has a jurisdiction to entertain and to try the complaint as the headquarters of both the complainants and the opposite parties are with in the jurisdiction of this Hon'ble Forum. 6. It is, therefore, prayed that this Hon'ble Forum may be pleased to pass the following orders, directions and grant the following reliefs in favour of The complainants in the interest of justice :- (a) Direct the opposite parties to pay the full maturity amount to the complainant along with interest @ 24% from the date of deposit; (b) Saddle the opposite parties with special and extra-ordinary costs as deemed fit so as to deter them from adopting such malpractice in future; (c) Allow the cost of this complaint; (d) Pass such other orders in favour of the complaints as deemed fit and proper in the facts and circumstances of the case. Coimbatore Applicant ______ Through, Advocate  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………………………. Complaint No:______ of 20………….. ………………………………………………………………………………………….Complainant  Versus …………………………………………………………………………………………..Respondents  Affidavit in support of complaint under Sec 12 of the Consumer Protection Act 1986 I, _____________________, do hereby solemnly affirm and declare as under:-  1. That the accompanying complaint has been prepared under my instructions.  2. That the contents of paras 1 to ________________ of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at ……………………….. this the ______.  Deponent  Download Word Document In English. (Rs.30/-)

CONSUMER EVIDENCE ON AFFIDAVIT  BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT COIMBATORE Complaint No. : ______ /20……….. ………….……………………………………………………………………………………..Complainant  Versus …………………..………………………………………………………………………………Respondents  Evidence by the complainant by way of Affidavit in Support of HIS complaint I, _______________________, aged _________ years, presently Administrator,…. ______, do hereby solemnly affirm and declare as under:-  1. That I have filed documents with the original complaint which may kindly be read as evidence. The contents of the Original Complaint may kindly also be read as part of evidence in the above complaint.  2. That I further solemnly affirm and declare that the contents of this affidavit of mine are correct and true, no part of it is false and nothing material has been concealed therein.  Affirmed here at Coimbatore this the _____________________ Download Word Document In English. (Rs.15/-)

CONSUMER STANDARD COMPLAINT 2  BEFORE THE HON'BLE CONSUMER DISPUTES REDRESSAL FORUM AT…………………………………………….. Complaint No: _____ …/…… …………………………………………………………………………….Complainant  Versus …………………………………………………………………………….Respondents  Application Under Section 12 of the Consumer protection Act, 1986. Respectfully  Sheweth: 1. That the complainant is a subscriber of  phone No: ________________ which is installed since _____. 2. That the complainant is in the business of _____ _______________________3. That the complainant has been receiving normal phon bills not exceeding Rs. ____________ /- and the complainant has been making the payments thereof within the ……_______………….period. 4. That surprisingly the complainant has received a bill dated _____ for the period ending _____ amounting to exorbitant Rs. _____ which was highly inflated and excessive bill against which the complainant made oral request and written objections with the respondents which request of the complainant has not so far been redressed by the respondents. 5. That the complainant has filed an application with the respondent for issuing Computerized sheet of his Telephone to assess the exact use of the telephone and its meter readings but the same has not been issued to the complainant till date and the complainant has been harassed by the respondents unnecessarily and has been asked to visit their office at……………____________……… on many occasions. 6. That it is pertinent to mention that the telephone is rarely used by the complainant and he could hardly consumes _______________……... Moreover, the telephone remains out of order and for which the complainant had made several oral as well as written complainants. 7. That such an act on the part of the respondent amounts to deficiency of service, restrictive trade practice and unfair trade practice within the purview of the Consumers Protection Acts and due to the deficiency in service of the respondents the complainant has suffered mental harassment and agony and his reputation has been lowered down in the society for which the respondents are liable to pay a sum of Rs. ………………………………..- as damages for the mental agony and harassment etc. 8. That the excessive and inflated billing for the above said period was due to either mechanical defect in the Exchange or some external fault as well as misuse of the number of the complainant by the telephone staff thereby raising the normal bill of the complainant. It appears that the lines and metering system of the respondents are not proper. Current number of calls are not recorded properly either on account of mechanical failure or some defect in the line or the bills of the complainant are very excessive and inflated one which is clear from the reading recorded on the bills for which the respondents are responsible.  9. That the complaint is within the period of limitation.  10. That since the complainant is consumer under the respondents here at ……………..…………..and since the cause of action arose to the complainant within the jurisdiction to try this complaint. 11. It is, therefore, prayed that this Hon'ble Forum may be pleased to pass the following orders, directions and grant the following reliefs in favour of The complainants in the interest of justice :- (a) Direct the opposite parties to repay the excessive payments amounting to Rs. _____ charged by them from the complainant along with interest @ ….% p.a. till the date of payment  (b) Saddle the opposite parties with special and extra-ordinary costs as deemed fit so as to deter them from adopting such malpractice in future;  (c) Award a compensation of Rs. ……………………….………./- to the complainant on account of mental agony, physical harassment, and financial loss, caused due to dereliction of duties on the part of the respondents;  (d) Allow the cost of this complaint;  (e) Pass such other orders in favour of the complaints as deemed fit and proper in the facts and circumstances of the case.  AND FOR THIS ACT OF KINDNESS, THE HUMBLE APPLICANTS AS IN DUTY BOUND, SHALL EVER PRAY .………………………… Complainant _______________ Through, Advocate  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………………………………… Complaint No:_____ ………../………….. ………………………………………………………………………..…………………Complainant  Versus …………….…………………………………………………………………………………Respondents  Affidavit in support of complaint Under Section 12 of the Consumer Protection Act 1986 I, _______________, do hereby solemnly affirm and declare as under :  1. That the accompanying complaint has been prepared under my instructions.  2. That the contents of paras 1 to_____ _____ of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at …………………………. this the _____.  Deponent  Download Word Document In English. (Rs.40/-)

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT THANE  App. No.: ______ /…………… in Complaint No.: ______ ……___………………………………………………………………………………..Complainant/Applicant  Versus ___……………………………………………………………………………………Respondent/Non-Applicants  Application for Additional Evidence. Respectfully  Sheweth: 1. That the above noted Complaint was filed in this Hon'ble Forum by the complainant on ___________ and the applicant has filed his evidence on _____________________. 2. That due to inadvertent mistake, the applicant could not place on record all the relevant documents. 3. Interest of justice therefore, demands that the applicant is permitted to place on record the following documents to be read in evidence:- 4. It is, therefore, most respectfully prayed that this application may kindly be allowed and the applicant be permitted to place on record the above documents to be read in evidence along with other evidence already produced by the applicant in the interest of justice. Such other orders may kindly also be passed as deemed fit and proper in the facts and circumstances of case. Coimbatore Complainant/Applicant ______ Through, Advocate   BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM   AT THANE App No.:______ /………. Complaint No: ……………..  ……………………………………………………………….Complainant/Applicant  Versus …………………………………………………………………….Respondents  Affidavit in support of Application I,______________________________, do hereby solemnly affirm and declare as under :  1. That accompanying application has been prepared under my instructions.  2. That the contents of paras 1 to _______________ of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at THANE   this the _________________.  Deponent  Download Word Document In English. (Rs.40/-) Download PDF Document In Marathi. (Rs.40/)

CONSUMER REVISION  BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT ………………….. Revision No.:______ of 20……. ………………………………………………………………………………………………….Petitioner  Versus ……………………………………..……………………………………………………………Respondents  Revision Petition under Section 17 (b) of the Consumer Protection Act, 1986  against the order dated ............................ of Ld. District Consumer Redressal  Forum …………….. in case titled as _________________________ ……………………………… Petitioner ________________ Through, Advocate  GROUNDS OF REVISION: Respectfully …………………: 1. That the relevant facts and the facts leading to filing of present Revision are given in brief hereunder in chronological order for the convenience of your Lordships:- Date______ Events ______  GROUNDS 2. That the humble Petitioner is invoking the jurisdiction of this Hon'ble Commission and seeking indulgence on the following grounds amongst others each one of which is without prejudice to and independent of other :- (a) That the learned Forum below has acted with serious illegality in the exercise of jurisdiction vested in it by law. _________________________ (b) That there has been mis-appreciation of evidence and mis-application of the provisions of law by the Ld. Forum below. _____ _________________________(c) That a breach of the rules of natural justice occurred in connection with the making of the decision. ____ _________________________________________(d) That procedures that were required to be observed in connection with the making of the decision were not observed and there has been material irregularity in exercise of the powers vested with the Ld. forum below. _____ _________________________________(e) That the decision was not authorized by the enactment in pursuance of which it was purported to be made. _____ ______________________________________(f) That the making of decision was on improper exercise of the powers conferred by the enactment in pursuance of which it was purported to be made. ______ _____________________(g) That decision incurred an error of law whether or not the error appear on the record of decision. _____ ___________________________________________________(h) That there was no evidence or other material to justify the making of the decision. _____ _________(i) That the decision was otherwise contrary to law ______________ taking an irrelevant consideration into account in the exercise of power. _____ ________________(j) That the Ld. forum below has failed to take relevant consideration into account in the exercise of a power.___________________ _____ (k) That the Ld. Forum below while making the decision was required by law to reach that decision only if a particular matter _____ was established and there was no evidence or other material [including facts of which the Ld. Forum below was entitled to take notice] from which the Ld. Forum below could reasonably be satisfied that the matter was established and the decision was based on the existence of particular fact and that fact did not exist. (l) That the Ld. Forum below has not exercised judicious discretion vested in it in accordance with law in passing the impugned order. _______________________ (m) That the provisions of law have been mis-construed. More particularly _____________________ (n) That the Ld. Forum below has failed to appreciate the evidence on record and has drawn wrong inferences from the facts proved on record which has vitiated findings. _____________________ (o) That the Ld. Forum below has failed to appreciate the well-settled principles of law laid down by the Hon'ble Apex Court and this Hon'ble Commission in catena of cases. 3. That no similar Revision of Revision has been filed by the Petitioner on the similar grounds. 4. It is, therefore, most respectfully prayed that this Hon'ble Commission may be pleased to send for the records of the case and after examining the legality of the proceedings, may be pleased to set aside the orders of the Ld. Forum below dated _____________________ passed in case titled as __________. Such other orders may also please be passed as deemed fit and proper in the facts and circumstances of the case in favour of the Petitioner. ……………………………….. Petitioner _________________ Through, Advocate  Before the Hon'ble ………………….. State Consumer Redressal Commission at ……………………………. Application No.:______ of 20………. in Revision No.______ of 20….. ………………………………………………………………………………………Petitioner/Applicant  Versus ……………………………………………………………………………………….Respondents  Application for stay of the impugned order of the Ld. District Consumer Redressal Consumer Forum dated _____________ case titled as ___________ Respectfully sheweth: 1. That the applicants have filed the above mentioned Revision in this Hon'ble court hearing whereof will take sometime. 2. That it is apparent from the grounds of the Revision and the documents attached therewith that the Petitioner/applicant has prima facie very good case in his favour and the Revision is bound to succeed. 3. That the interest of justice demands that during the tendency of the Revision operation of the impugned judgment of the Ld. District Redresal Forum below is stayed. Otherwise the applicant will suffer irreparable loss and injury which cannot be compensated in terms of money. 4. It is, therefore, most respectfully prayed that this application may be allowed in the interest of justice and during the tendency of this Revision the operation of the impugned order may be stayed in the interest of justice. Such other orders be also passed as deemed fit and proper in the facts and circumstances of the case. ………………………….. Petitioner ______ Through, Advocate  Before the Hon'ble ………….. State Consumer Redressal Commission at …………………………. Application No.:______ of 20…………… in Revision No.:______ of 20…. ………………..…………………………………………………………………………….Petitioner/Applicant  Versus ………………….…………………………………………………………………………….Respondents  Affidavit in support of the application for stay I,………………………………………………………….., do hereby solemnly affirm and declare as under :  1. That the accompanying application has been prepared under my instructions.  2. That the contents of paras 1 to 4 of the application are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at …………………. this the ______  Deponent  Download Word Document In English. (Rs.40/-)

CONSUMER COMPLAINT 2  BEFORE THE HON'BLE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT ……………. App No :………………./……………..        in Complaint No: _______.......... …………………………………………………………………………………..………….Applicants  Versus ………………………………………………………………………………………………Respondents  Application under Section 151, Order 38 Rule 1 and 2 of CPC read with Section 13 [4] [I] of The Consumer Protection Act, 1986 for _______ arrest of the opposite parties Nos 1 and 2 before judgment. Respectfully Sheweth : 1. That the complainants/applicants have filed the above complaint in this Hon'ble Forum, hearing whereof will take some time. 2. That when the complaint came up before this Hon'ble Forum on ____________, this Hon'ble Forum was pleased to issue notices to the respondents. 3. That _______ ____________________________________4. That seeing the conduct of the respondents Nos. _____________________, the complainants/applicants have reasonable apprehensions that the respondent No. __________ are doing so with intent to delay the complainant and to avoid the process of this Hon'ble Court and obstruct and delay the administration of justice, process of this Hon'ble Forum and execution of order that may be passed by this Hon'ble Forum. It is further submitted that the respondent Nos. ___________ have wound up their business at ____.______________..and are likely wound up their business at ________________ and defrauded their customers of their hard earned money to the tune of crores of rupees. The respondent Nos. ____ are now about to abscond or leave the local limits of the jurisdiction of this Hon'ble Forum and have already disposed of and removed from the local limits of the jurisdiction of this Forum their property. The circumstances are affording reasonable probability that the respondents are about to leave India as there will be multiplicity of litigation against them as they have started their business solely with a view to defraud the customers. 5. That interest of justice therefore, demands that this Hon'ble Forum may be pleased to issue a warrant to arrest the respondent Nos.________________ ______ and bring them before the Forum to show cause why they should not furnish security for their appearance for enforcing their attendance. 6. It is, therefore, most respectfully prayed that this application may be allowed and during the tendency of this complaint, the warrant for arrest of respondent No. ___________ be issued and security obtained from them in accordance with law. This Hon'ble Forum may also be pleased to take note of the contempt committed by the respondents Nos. __________________. Such other orders be also passed in favour of the complainants as deemed fit and proper by this Hon'ble Court in the facts and circumstances of the case.  AND FOR THIS ACT OF KINDNESS, THE HUMBLE APPLICANT AS IN DUTY BOUND, SHALL EVER PRAY. …………………………………. Applicants___________________ Through, Advocate  BEFORE THE HON'BLE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM App No :……………/………..        In Complaint No :______ ……………………………………………………………………………………....Applicant  Versus ……………………………………………………………………………..………..Respondents  Affidavit in support of Application under Section 151, Order 38 Rule 1 and 2 of CPC read with Section 13 [4] [I] of The Consumer Protection Act, 1986. I, _________________________..__, do hereby solemnly affirm and declare as under :- 1. That the accompanying application has been prepared under my instructions  2. That the contents of paras 1 to________ ____ of the accompanying application are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true, no part of it is false and nothing material has been concealed therein.  Affirmed at ………………………………………….this the ............................. ____.  Deponent  CONSUMER COMPLAINT 2  BEFORE THE HON'BLE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT ……………. App No :………………./……………..        in Complaint No: _______.......... …………………………………………………………………………………..………….Applicants  Versus ………………………………………………………………………………………………Respondents  Application under Section 151, Order 38 Rule 1 and 2 of CPC read with Section 13 [4] [I] of The Consumer Protection Act, 1986 for _______ arrest of the opposite parties Nos 1 and 2 before judgment. Respectfully Sheweth : 1. That the complainants/applicants have filed the above complaint in this Hon'ble Forum, hearing whereof will take some time. 2. That when the complaint came up before this Hon'ble Forum on ____________, this Hon'ble Forum was pleased to issue notices to the respondents. 3. That _______ ____________________________________4. That seeing the conduct of the respondents Nos. _____________________, the complainants/applicants have reasonable apprehensions that the respondent No. __________ are doing so with intent to delay the complainant and to avoid the process of this Hon'ble Court and obstruct and delay the administration of justice, process of this Hon'ble Forum and execution of order that may be passed by this Hon'ble Forum. It is further submitted that the respondent Nos. ___________ have wound up their business at ____.______________..and are likely wound up their business at ________________ and defrauded their customers of their hard earned money to the tune of crores of rupees. The respondent Nos. ____ are now about to abscond or leave the local limits of the jurisdiction of this Hon'ble Forum and have already disposed of and removed from the local limits of the jurisdiction of this Forum their property. The circumstances are affording reasonable probability that the respondents are about to leave India as there will be multiplicity of litigation against them as they have started their business solely with a view to defraud the customers. 5. That interest of justice therefore, demands that this Hon'ble Forum may be pleased to issue a warrant to arrest the respondent Nos.________________ ______ and bring them before the Forum to show cause why they should not furnish security for their appearance for enforcing their attendance. 6. It is, therefore, most respectfully prayed that this application may be allowed and during the tendency of this complaint, the warrant for arrest of respondent No. ___________ be issued and security obtained from them in accordance with law. This Hon'ble Forum may also be pleased to take note of the contempt committed by the respondents Nos. __________________. Such other orders be also passed in favour of the complainants as deemed fit and proper by this Hon'ble Court in the facts and circumstances of the case.  AND FOR THIS ACT OF KINDNESS, THE HUMBLE APPLICANT AS IN DUTY BOUND, SHALL EVER PRAY. …………………………………. Applicants___________________ Through, Advocate  BEFORE THE HON'BLE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM App No :……………/………..        In Complaint No :______ ……………………………………………………………………………………....Applicant  Versus ……………………………………………………………………………..………..Respondents  Affidavit in support of Application under Section 151, Order 38 Rule 1 and 2 of CPC read with Section 13 [4] [I] of The Consumer Protection Act, 1986. I, _________________________..__, do hereby solemnly affirm and declare as under :- 1. That the accompanying application has been prepared under my instructions  2. That the contents of paras 1 to________ ____ of the accompanying application are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true, no part of it is false and nothing material has been concealed therein.  Affirmed at ………………………………………….this the ............................. ____.  Deponent  Download Word Document In English. 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CONSUMER COMPLAINANT WITHDRAWL  BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT ………………………….. App. No.:______ /…………..in Complaint No.: _______ …………………………………………………………………………………………..Complainant  Versus ________…………………………………………………………………………..Respondent  Application for Withdrawal of Complainant Respectfully  Sheweth: 1. That the above noted Complaint was filed in this Hon'ble Forum by the complainant on __________. 2. That the complainant wants to withdraw the above complaint as the complainant has reached to compromise / wants to avail of the alternative remedy. 3. It is, therefore, most respectfully prayed that the complainant may kindly be permitted to withdraw the above complaint with a liberty to approach the appropriate alternative forum on the same cause of action in the interest of justice. Such other orders may kindly also be passed as deemed fit and proper in the facts and circumstances of case. ……………………………….. Complainant ______ Through, Advocate  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………….. App No.: ______ /………… Complaint No: _________ ……………………………………………………………………………….Complainant Versus ..………………………………………………………………………………Respondents  Affidavit in support of Application for restoration.  I,………………………………………………..do hereby solemnly affirm and declare as under :  1. That accompanying application has been prepared under my instructions.  2. That the contents of paras 1 to_______ _____ of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at …………………………..thisthe ______ .  Deponent  Download Word Document In English. (Rs.20/-) Download PDF Document In Marathi. (Rs.20/-)

COMPLAINT AGAINST DEFICIENT COURIER SERVICE BEFORE THE CONSUMER DISPUTES REDRESSAL FORUM AT ……………………….  Complaint No. ________of _______ …………………………………………………………………………….Complainant. VERSUS ……………………………………………………………………………Respondent  Complaint under section 12 of the Consumer Protection Act, 1986. Respectfully ………………….-  1. That the complainant on…………………../………………….……. engaged the services of the opposite party/respondent who is engaged as Couriers and handed over a packet in there office at ………………………. containing duly filled and executed admission forms by ………………………………… ________ to be delivered to (Name)________ RESI……………………………….. ________. The said admission forms were required to be submitted by …….. ……………………. on  in the college at ……………..for seeking admission in the Hostel …………………..as  student. The receipt issued by the respondent is Annexure-C/1.  2. That the respondent charged a sum of Rs……………….- as urgent charges from the complainant and assured the delivery of the packet with in ……… hours on the above given address. On inquiry made by the complainant when the packet did not reach by …………………../………..the complainant approached the respondent but they failed to offer any explanation about the non delivery of the said packet in time.  3. That when the complainant realized that the said packet may not reach in time she herself go to …………………….and submit another copies of application forms at on………………dated……./…………..  4. That on inquiry it transpired that the respondent/opposite party delivered the packet to Mr. (Name) ______ at ………… on ………./…………… after a lapse of ……………days.  5. That on account of non-delivery of the packet by the respondent within a stipulated period as assured, the complainant has been made to suffer a lot as she has to rush to ………………………………………..by spending good expenses to complete the required formalities for getting her daughter admitted in the college hostel at ……………………...  6. That such an act and omission on the part of the respondent couriers amounts to deficiency in service, restrictive trade practice and unfair trade practice within the preview of consumer protection Act,1986.  7. That the complainant has suffered a lot of mental agonies, financial loss and harassment at the hands of the respondent for which the complainant deserve to be compensated amply and suitably in terms of money in the interest of justice. The respondent is liable to be settled with costs and damages.  8. That a legal notice dated ………………. has also been issued to the respondent under Registered cover demanding compensation of Rs. ……….- but the respondent has refused to accept the same deliberately and intentionally. Copy of the legal notice is annexure-C/2 and envelope is Annexure-C/3  9. That the complainant is entitled to a compensation of Rs. ……………….- from the respondent on account of financial loss, mental tension and harassment caused to her due to the deficiency of service provided to the complainant.  10. That since the part of cause of action has arisen at …………………. and this Hon’ble forum has jurisdiction to try the present complaint as the subject matter of the complaint is a consumer dispute.  It is, therefore, prayed that the present complaint may kindly be allowed by passing following orders, directions in favour of the complainant and against the respondent in the interest of justice and fair play.  1. Direct the respondent to pay a compensation amounting to Rs. Rs. ……………. to the complainant on account of delay, inconvenience, mental agony harassment  2. Direct the respondent to pay litigation costs amounting to Rs. …………..- in addition to the above amount.  3. Any other relief which this learned forum deems fit in the facts and circumstances may also be allowed to the complainant.  Complainant  Through (Counsel)  Annexures C1 to C3  Affidavit of MR……………….S/O………………………………RESI……………………………… ____________,  _________ aged about _______ years, complainant .  I, the above named do hereby solemnly affirm and declare on oath as under: -  1. That the accompanying complaint under section 12 of the consumer protection Act, 1986 has been drafted at my instance.  2. That I have gone through the contents of the said complaint from paras 1 to 10 which I admit as true and correct to my knowledge.  3. That the copies of the documents filed at Annexure “C1” to “C3” are true and correct of the original retained by the complainant which may be read in evidence.  4. In order to whatever stated above is true and correct to the best of my knowledge. No part of it is false and nothing material has been concealed therefrom.  Verified at _____ on this ____ day of _____  Deponent  Download Word Document In English. (Rs.30/-) Download PDF Document In Marathi. (Rs.30/-)

COMPLAINT AGAINST DEFECTIVE TELEVISION BEFORE THE CONSUMER DISPUTES REDRESSAL FORUM AT THANE  Complaint No.______________ ___of____________/…______________…... ………………………………………………………………………………..Complainant  Versus ……………………………………………………………………………….Respondent.  Complaint under section 12 of the Consumer Protection Act,1986. Respectfully Sheweth:- 1. The respondent is a manufacturer of Electronics goods including Television Sets and carries on business in the name and style of M/s………………………………………………………………………………………2. The complaint relates to the malfunctioning of the …………………..………………… purchased by the complainant from the respondent about … months ago. 3. The claim of compensation does not exceed Rs. …………………………..…. This Application is being made within …………………………………… from the date of cause of action for making this application. Thus the complaint is pecuniary jurisdiction and time limitation 4. The complainant purchased one ……………………………..from the respondent at Rs._________ on (Dated)__________. 5. The price is paid in cash by complainant at the time of purchase. The respondent has issued a cash memo warranty card. The warranty card guarantee proper functioning of the ………………………………. for three years from the date of purchase. 6. After about …………………….…..days of running the said …………………………… in accordance with the printed instructions given by the respondent the …………………………………. did not work properly (give brief description of malfunctioning/defect of ……………………………….……………). 7. The complainant by this letter dated__......................____ complained to the respondent detailing about malfunctioning/defects (Letter annexed as Annexure “A”). 8. The respondent sent its mechanic who apparently repaired the defect. But after some time again some defects appears in ……………………………..……….. (give brief description of malfunctioning/defect of …………………………………….……………….). 9. After several reminders the respondent sent its mechanic who tried to repair the ……………………………..………..and ultimately made it workable but stated that these are manufacturing defects and can not be fully repaired. 10. The complainant requested the respondent by a letter dated .............. ____ to replace the said …………………………… as there was a manufacturing defect and in spite of best efforts the respondent’s mechanic could not repair the defects. The respondent received the said letter but neither replaced the machine nor repaired the defect nor replied to the said complaint. A copy of letter and copy of the receipt are annexed hereto marked “B” and “C”. 11. Copies of the Cash Memo and the Guarantee Card are annexed hereto marked “D and “E” respectively. 12. By reasons of the breach of the agreement, breach of the Warranty and negligence of the respondent, the complainant has suffered loss and damages which the complainant assesses at Rs._______.________________ In the facts and circumstances of the case the complainant prays for the following reliefs: To replace the …………………,,,,,,,,,,,,,,. with new one or Refund the Rs. ____________ paid to the respondent for the purchase of the said …………………... (b) Interest from date of purchase on Rs._________ at ______% per annum. (c) Damages for harassment, physical injury and mental agony assessed at Rs._________. (d) Costs of the present proceeding. (e) Further and other relief’s as the complainant is entitled to. And the complainant as in duty bound shall ever pray. Place:_______ Date :_______ Complainant Through Advocate Annexure “A” to “E”.  BEFORE THE DISTRICT CONSUMER  REDRESSAL FORUM AT THANE  Complaint No. ___________of_________. ………………………………………………………………………………..Complainant  Versus ……………………………………………………………………………..Respondent  Affidavit of Shri __________________ s/o Shri______________ ____________,  R/o_____________________ aged about __________________________ years, complainant in this case.  I, the above named do hereby solemnly affirm and declare on oath as under: -  1. That the accompanying complaint under section 12 of the consumer protection Act, 1986 has been drafted at my instance.  2. That I have gone through the contents of the said complaint from paras 1 to 12 which I admit as true and correct to my knowledge.  3. That the copies of the documents filed at Annexure “A” to “E” are true and correct of the original retained by the complainant which may be read in evidence.  4. In order to whatever stated above is true and correct to the best of my knowledge. No part of it is false and nothing material has been concealed therefrom.  Verified at _____ on this ____ day of _____  Deponent  Download Word Document In English. (Rs.30/-) Download PDF Document In Marathi. (Rs.30/-)

CONSUMER COMPLAINT No.3  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………………………………………. Complaint No.:______ /………………….. …………………………………………………………………………………….Complainant  Versus ….…………………………………………………………………………………..Respondents  Complaint under Section 12 of The Consumer Protection Act 1986 Respectfully Sheweth: 1. That the relevant facts and the facts leading to filing of present complaint are given in brief hereunder in chronological order for the convenience of your honor:- Date ______ Events ______ (a) ________  GROUNDS 2. That the above being the background of the case, the complainant is entitled to maintain and file the present complaint before this Hon'ble Forum on the following grounds amongst others, each one of which is without prejudice to others, and seeks the indulgence of this Hon'ble Forum to issue directions or orders to the opposite parties deemed appropriate :-  (a) That such an act and omission on the part of the opposite parties amounts to deficiency in service, restrictive trade practice and unfair trade practice under the purview of the Consumers Protection Act.  (b) That the complainant has suffered lot of avoidable mental agonies, physical harassment and financial loss, irreparable loss and injury at the hands of the opposite parties for which the complainant deserves to be amply and suitably compensated in terms of money in the interest of justice.  (c) That the opposite parties deserves to be saddled with heavy and extra-ordinary costs so that the opposite parties can be deterred from adopting such mal-practice in future.  (d) That the complainant herein deserves to be amply compensated in terms of money for the inconvenience, traveling expenses, for mental agonies, damages, delayed service/no service, interest, and loss suffered due to negligence and dereliction of duties by the opposite parties. 3. That the complaint is within the period of limitation.  4. That this Hon'ble Forum has a jurisdiction to entertain and to try the complaint as the headquarters of both the complainants and the opposite parties are with in the jurisdiction of this Hon'ble Forum. It is submitted that the present complaint is being filed without prejudice to other rights or remedies available to the complaint.  5. It is, therefore, prayed that this Hon'ble Forum may be pleased to pass the following orders, directions and grant the following reliefs in favour of The complainants in the interest of justice :- (a) Direct the opposite parties to _____ along with interest @ …..% from the date of payment till realisation;  (b) Saddle the opposite parties with special and extra-ordinary costs as deemed fit so as to deter them from adopting such malpractice in future;  (c) Award a compensation of Rs. _____ to the complainant on account of mental agony, physical harassment, and financial loss;  (d) Allow the cost of this complaint;  (e) Pass such other orders in favour of the complaints as deemed fit and proper in the facts and circumstances of the case.  AND FOR THIS ACT OF KINDNESS, THE HUMBLE APPLICANTS AS IN DUTY BOUND, SHALL EVER PRAY. ………………………………. Complainant __________________ Through, Advocate  BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT …………………………….. Complaint No:______ /………….. ………………………………………………………………………………..Complainant  Versus …………………………………………………………………………………Respondents  Affidavit in support of complaint Under Section 12 of the Consumer Protection Act 1986 I, _____________________, do hereby solemnly affirm and declare as under:-  1. That the accompanying complaint has been prepared under my instructions.  2. That the contents of paras 1 to 5 of the complaint are correct and true to the best of my knowledge.  3. That I further solemnly affirm and declare that this affidavit of mine is correct and true to the best of my knowledge and no part of it is false and nothing material has been concealed therefrom.  Affirmed at ……………………………………..this the _____.  Download Word Document In English. (Rs.40/-) Download PDF Document In Marathi. (Rs.40/)