An attested true copy of the order against which the appeal is filed

Copies of the documents relied upon by the appellant and referred to in the appeal

An index of the documents

Other documents as annexed along with the complaint

Signature of the appellant(s)

Verification

I__________ (name in full block letters) [son / daughter] of ______ the appellant do hereby verify that the contents of paragraphs [1 to 10] are true to my personal knowledge and belief and that I have not suppressed any material fact(s).

Place:

Date:

Signature of the appellant(s)

Instructions: (1) Every appeal shall be filed in English and in case it is in some other Indian language, it shall be accompanied by a copy translated in English and shall be fairly and legibly type-written, lithographed or printed in double spacing on one side of standard petition paper with an inner margin of about four centimeters width on top and with a right margin on 2.5 cm, and left margin of 5 cm, duly paginated, indexed and stitched together in paper book form.

(2)

Every appeal shall be presented along with an empty file size envelope bearing full address of the respondent and where the number of respondents are more than one, then sufficient number of extra empty file size envelopes bearing full address of each respondent shall be furnished by the party preferring the appeal.

Form `CRA'

[See rule 28 (1)]

Complaint to Authority

For use of Regulatory Authority(s) office:

Date of filing: ______________________

Date of [receipt at the filing counter of the Registry/receipt by post/online filing]:

______________________

Complaint No.: ______________________

Signature: ________________________

Registrar: ________________________

In The Regulatory Authorities Office (Name of place)

Between

______________________ Complainant(s)

And

_____________________ Respondent(s)

Details of claim: