Consumer Complaint Form

Please get details for fee payment from payment@icrpc.org and pay the fee of Rs 500. The transaction details would be required here. All fields are mandatory. Please write correct email address as you will receive all communication on this email id. This form has THREE PAGES:

FIRST PAGE: Your complaint and fee payment details

SECOND PAGE: Your Complaint Number

THIRD PAGE: Attach documents in PDF file under 5 MB file size


Complainant Name *

Complainant Email *

Complainant Cell *

Complainant Address *

Opposite Party Chairman/MD/Director Name (if available)

Opposite Party Company Name *

Opposite Party Address *

Opposite Party Telephone No *

Opposite Party Email *

Complaint Summary *

(Write brief datewise facts with amounts involved)

 

Relief required to settle the matter *

(Refund, replacement, repair, compensation or any other settlement)

 



PAYMENT OF RS 500 FEE TO ICRPC
(Get netbanking details from payment@icrpc.org)
(You can also pay to googlepay no +91 9969828656)

Transaction Number for Rs 500 fee *

Transaction Date for Rs 500 fee *

Bank from which paid Rs 500 fee *

Other Information (optional)


 


 

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