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Model Form of Appeal

 

MODEL FORM OF APPEAL

 

Before the Hon'ble Consumer Disputes Redressal Commission (State Commission)

At --------------------------------------

(Appellate Jurisdiction)

Memorandum of Appeal No. --------------------------------- of --------------------

 

 

 

IN THE MATTER OF

 

 

Name : -----------------------------------------------------------------------------------

 

Full Address: ---------------------------------------------------------------------------

 

Village/Tehsil/District: ---------------------------------------------------------------

 

Versus

 

Name : -----------------------------------------------------------------------------------

 

Full Address: ---------------------------------------------------------------------------

 

Village/Tehsil/District: ---------------------------------------------------------------

 

The humble appeal of Appellant(s) above named most respectfully showed:

 

1.This appeal is directed under Section 15 of the Consumer Protection Act, 1986 against the order of the District forum ----------------------------- In application No. ---------------------- of------------------- passed on --------------------------- received by the appellant on -------------------------

 

2.This appeal is filed within the time limit provided under Section 15 of the Consumer Protection Act, 1986/ This appeal being, barred by limitation, is accompanied by an application for condonation of delay for consideration by the Commission, as per rules ----------------------- of the Consumer Protection Rules of -------------------------------------- State (delete whichever is not applicable).

 

3.Brief facts of the case are stated hereunder (Please furnish herein the details of the case and the decision of the District Forum):

 

--------------------------------------------------------------------------------------------

 

4.The grounds on which appeal is preferred are stated here under (the grounds should be numbered consecutively without any arguments of narrative):

 

5.The appellant has not preferred any other appeal against the order impugned herein.

 

6.PRAYER: It is, therefore, respectfully prayed that your Lordship may be graciously pleased to allow the appeal and set aside/modify the order of the District Forum appealed against.

 

7.List of enclosures:

 

Certified copy of the order of the District Forum appealed against.

Affidavit.

--------------------------------------------

--------------------------------------------

PLACE: ------------------

DATE: ------------------ SIGNATURE

 

(To be signed by the Appellant and Authorized Representative/Associate).

 
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