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Complaint To Authority
Form - 'M'
Complaint Against
*
Project
Agent
Is Registered in HP RERA ?
Yes
No
Complaint Against (Name)
*
*
Contact No.
*
Email
*
Address
*
Complainant's Personal Details
Complainant Name
*
Father Name
*
Gender
*
Male
Female
Other
Mobile No
*
Email
*
Fax No.
Complaint Details
District
*
--District--
Bilaspur
Chamba
Hamirpur
Kangra
Kinnaur
Kullu
Lahaul and Spiti
Mandi
Shimla
Sirmaur
Solan
Una
Tehsil
*
--Tehsil--
Project Name
*
Facts of the case
*
Maximum 8000 characters
Relief Sought
*
Maximum 8000 characters
Interim Order, if prayed for
Maximum 8000 characters
The complainant declares that the subject matter of the claim falls within the jurisdiction of the Authority.
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).
Address Details (Complainant and Respondent)
Complainant Address
Respondent Address
Name
*
Mr.
Ms.
Mrs.
Name
*
Mr.
Ms.
Mrs.
Guardian
*
S/o
D/o
C/o
W/o
Guardian
*
S/o
D/o
C/o
W/o
State
*
--State--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
State
*
--State--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
--District--
Bilaspur
Chamba
Hamirpur
Kangra
Kinnaur
Kullu
Lahaul and Spiti
Mandi
Shimla
Sirmaur
Solan
Una
District
*
--District--
Bilaspur
Chamba
Hamirpur
Kangra
Kinnaur
Kullu
Lahaul and Spiti
Mandi
Shimla
Sirmaur
Solan
Una
Tehsil
*
--Tehsil--
Tehsil
*
--Tehsil--
Town/Village/Ward
*
Town/Village/Ward
*
Address
*
Address
*
PIN
*
PIN
*
Other information
Maximum 400 characters
Other information
Maximum 400 characters
Complaint Supporting Documents
Sr. No.
Document Name
Document File
Manage
1.
(pdf file only and Max file Size 3 MB)
Complaint Fee
Transaction Type
*
Bank Draft
Online
Complaint Fee (
)
Payment through Demand Draft (Complaint Fee)
Bank Name
*
Bank Address
*
Transaction Date
*
Demand Draft No.
*
Account Holder Name
*
Transaction Document
*
(pdf file only and Max file Size 3 MB)
Online Payment
I hereby verify that the provided contents/documents are true to my personal knowledge and belief and that I have not suppressed any material fact(s).
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