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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):
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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.
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PLACE: ------------------
DATE: ------------------ SIGNATURE
(To be signed by the Appellant and Authorized Representative/Associate).
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