If you are still not satisfied with the decision/response of Nodal Officer. You may appeal before the Appellate Authority during working hours 9.30 am to 6.30 pm, Monday to Friday. Appeals only against the decision of the Nodal Officer are maintainable before the Appellate Authority, no other appeal / direct complaint shall be entertained
| Appellant Details : |
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| Appeal is filed for : |
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| Complaint Details : |
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or specific
if any other
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| The docket number allotted by the Call Center at the time of lodging complaint under clause (a) of sub-regulation (1) of regulation 4 and date of lodging the complaint with the CallCentre. |
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| The unique complaint number communicated by the Nodal Officer under clause (c) of regulation 8, and date of lodging the complaint with the Nodal Officer. |
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| Date of decision of the Nodal Officer and decision intimated by the Nodal Officer under clause (d) of regulation 8, if any. |
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| Statement of Facts relating to grievance or appeal: (attach separate sheet signed by Appellant if required) |
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| Grounds of Appeal: A full description of the matter, which is the cause of the grievance, including copies of any relevant and supporting documents, if any, and the relief claimed in Appeal (attach separate sheet signed by Appellant if required.) |
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| A statement to the effect that same subject matter or issue, for which an appeal has been filed under these regulations, is not covered in any proceedings before any court or tribunal or under the Consumer Protection Act,1986 (68 of 1986) or any other law for the time being in force. |
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| Details of any other relevant material or document. |
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| Whether the Appellant requests to grant him exemption from appearing in person and decide the appeal on the basis of information, document or record filed by him. |
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The appellant shall submit in duplicate the appeal in this Form.
