Register
Form VI
(See Regulation 6)
Complaints to the Regulatory Authority
IN THE REGULATORY AUTHORITY’S OFFICE OF ODISHA
Fields marked with * is mandatory.
Status of the Complainant
*
Individual
Society/ Association
Voluntary Consumer Association
1. Particulars of the complainant(s):
Name of the comptainant
*
Name of the Society/ Association
*
Email Id
*
Complainant Address of Communication
*
Phone Number
Mobile
*
Registration Number
*
Upload Registration Certificate
*
Represented by
*
Position in the Association
*
2. Particulars of the respondents:
Name of respondent
*
Email Id
*
Office address of the respondent
*
Address for service of all notices
*
Phone Number
Mobile
*
Project Name
*
ORERA Registration Number, If Any
Project Address
*
Add New Respondent
3. Jurisdiction of the authority:
The complainant declares that the subject matter of the claim falls within the jurisdiction of the Authority..
4. Facts of the case:
Facts of the Case
*
5. Relief(s) sought:
In view of the facts mentioned in paragraph 4 above, the complainant prays for the following relief(s)
Relief(s) sought
*
6. Interim order, if prayed for:
Pending final decision on the complaint the complainant seeks issue of the following interim order:
Interim Order Required
*
Yes
No
SL NO
Specify
*
1
7. Complainant not pending with any other court, etc.:
The complainant further declares that the matter regarding which this complaint has been made is not pending before any court of law or any other authority or any other tribunal(s).
8. List of enclosures:
Serial No.
Document Description
*
Upload document
*
1.
2.
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3.
delete
4.
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Verification
I
(name in full block letters), the complainant do hereby verify that the contents ofparagraphs [1 to 8] are true to my personal knowledge and belief and that I have not suppressed any material fact(s).
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