Technopark-Consumer grievance redressal forum

Consumer Grievance Redressal Forum

CGRF of Technopark

Constitution of Consumer Grievance Redressal Forum of Technopark is constituted as follows,

Chairman: Col Sanjeev Nair (Retd)
Chief Executive Officer
Technopark
Thiruvananthapuram
Phone: 2700222
Member: Madhavan Praveen
General Manager- Projects
Technopark
Thiruvananthapuram
Phone: 2700222
Member: Adv. Nissam A

CGRF - KSERC REGULATION

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APPLICATION FOR FILLING COMPLAINT WITH THE CONSUMER GRIEVANCE REDRESSAL FORUM

Name of the complainant

Full address of the complainant

Pincode

Telephone

Fax No

Email id

Consumer number / Particulars of connection ( Please state nature of connection )

Name of the licensee

Office of the licensee to which the complaint pertains

Details of complaint / Grievance ( If space is not sufficient please enclose separate sheet )

Details of intimation of grievance by the consumer to the licensee

Whether any reply has been received from the licensee ( If yes, a copy of the reply to be attached )

Nature of relief sought

List of documents enclosed

DECLARATION
I/ We , the complainant /s herein declare that: (a) the information furnished herein above is true to the best of my/our knowledge, information and belief. (b) I/ We have not concealed or misrepresented any fact stated above and the documents submitted herewith. (c) I/We have not brought the subject matter of the present complaint before this forum earlier. (d) The subject matter of the present complaint has not been decided by any Forum/ Court/Arbitrator of any other authority.

Yours faithfully (Consumer’s name)
NOMINATION
(If the consumer wants to nominate his representative to appear and make submissions on his/her behalf before the Forum, the following declaration should be submitted.)

I/We the above named consumer hereby nominate Shri/Smt
And whose address is
as my/our representative in the proceedings and confirm that any statement, acceptance or rejection made by him/her shall be binding on me/us. He/She has signed below in my presence
Please make a selection. ACCEPTED

Verify Code