Free Consumer Service – Consumer Court

Selection of Complain type

Select type

Name of the Product / Service

Cash paid receipt Number

Invoice Number / Order Number/ Ticket Number

Purchase Value in Rs.

Registered email during purchase transaction with the company

Registered mobile number during purchase transaction with the company

AADHAAR Number (last 4 digits only )

When this happen (Date)

Complaint Details / What happened?

Loss Value / how much you affected?

What would you expect from the Company to resolve your complaint?

Have you raised this issue before Warranty / complaint period with Company?
Yes No

When (Date) & How (Email / Phone message)

Company response (name of people who interacted & designation)

Upload (Communication proof with company)

Interested Parties (here add the fields)

Company name

Email id

Phone Number

Register Address

State

Pincode

Complaint Form