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    Trai Griev Form

    Uploaded by

    Ganesh Lakshminarasan

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    Trai Griev Form

    Uploaded by

    Ganesh Lakshminarasan
    37 views3 pages

    Original Title

    trai_griev_form

    Copyright

    © Attribution Non-Commercial (BY-NC)

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    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    37 views3 pages

    Trai Griev Form

    Uploaded by

    Ganesh Lakshminarasan

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    FORM

    (See regulation 11 of the of Telecom Consumers Protection and Redressal of


    Grievances Regulations, 2007}

    Appeal under regulation 11 of the Telecom Consumers Protection and Redressal


    of Grievances Regulations, 2007 to the appellate authority appointed by------------
    -------------------------------------------------
    (mention name and address of service provider)

    1.The Name, Address, Telephone


    Number, Facsimile number and the e-
    mail address of the Appellant.

    2. Telephone Number or Cellular Mobile


    Telephone Number or Broadband
    Connection Identity, as the case may be,
    for which appeal is filed

    3. The name of the city /district of the


    origin of complaint

    4. The name of the State or licensed


    service area, as the case may be, of the
    origin of complaint.

    5. Nature of Complaint (specify, whether


    complaint relates to
    Provisioning/Activation/Billing/ Fault-
    Repair/Service disruption /disconnection
    of service/ Value Added Service /
    Closure / Termination or specify if any
    other).

    6. The docket number allotted by the Call


    Centre at the time of lodging complaint
    under clause (a) of sub-regulation (1) of
    regulation 4 and date of lodging the
    complaint with the Call Centre.

    7. 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.
    8. Date of decision of the Nodal Officer
    and decision intimated by the Nodal
    Officer

    under clause (d) of regulation 8, if any.

    9.Statement of Facts relating to


    grievance or appeal:
    (attach separate sheet signed by
    Appellant if required)
    10. 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).
    11. 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.

    12. Details of any other relevant material


    or document.

    13. 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.
    Form for verification
    I,_____________________________________________ (name in full and in
    block letters), the appellant, son/daughter of _____________________________
    do hereby declare that to the best of my knowledge and belief, the information
    given in this appeal and the annexure and statements accompanying the appeal
    are correct, complete and truly stated.

    ……………………………
    Signature of appellant

    (Name of appellant)…………………
    (Specify status of the appellant, whether a company/firm/society/ individual/
    others ………………………………..…….. )

    Note1. The Form of appeal, grounds of appeal and the Form of verification
    appended shall be signed by the appellant.
    Note2. The appellant shall submit in duplicate the appeal in this Form.

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