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 Complaint Form

Enter Supporting Details to File Complaint
Name of Complaintant/Actual User *
Name of Registered Consumer*
Supply Address *
Correspondance Address*
Mobile No.*
C.A./K.No./Notification No. *
Name of District *
Relief Prayed for*
Brief description of complaint*
Valid ID Type *

Valid ID proof *
(File Name Length 50 char ,Size <= 3 MB and No special characters)

Details of complaint made earlier in this regard with (TPDDL) and decision thereof, (Copies, if any should be enclosed) *
File Name Length 50 char ,Size <= 3 MB and No special characters

I/We undertake that the above matter/complaint/greviance is not pending before/nor decided by any other Court, Authority or Forum. I/We also undertake that the greviance filled before the forum does not relate to a greviance under Sec 126/127/135/139/143/152/161 of the Act. If any such violation is observed during the proceeding, the complaint will be liable for dismissal.

Please bring print out of the form duly signed by the complainant on the first date of hearing fixed by CGRF. Please carry authority letter, if applicable. Please note your reference no. for future reference.