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FORMAT FOR FILING COMPLAINT BEFORE AUTHORITY
HARYANA REAL ESTATE REGULATORY AUTHORITY, PANCHKULA
COMPLAINT NO.
PARTIES NAMES (AS PER PROFORMA-B)
COMPLAINANT (NAME OF COMPLAINANT, FATHERS NAME AND DETAIL
ADDRESS, EMAIL AND MOBILE NUMBER.)
V/s
RESPONDENT (NAME OF RESPONDNET, DETAIL OF ADDRESS, REGISTERED
AND FOR SERVICE OF NOTICE, EMAIL AND MOBILE NUMBER.)
INDEX
SR NO CONTENTS DATES PAGE NO.
1. PRINT OUT OF THE REGISTRATION OF THE COMPLAINT ON THE WEBSITE OF
THE AUTHORITY
2. LIST OF DATES
3. BRIEF FACTS
4. ISSUES TO BE DECIDED
5. RELIEF SOUGHT
6. AFFIDAVIT
7. ANNEXURES (MARKED SEPARATELY EACH ANNEXURE 1 TO 10)
LIST OF DATES
DATE EVENT
BRIEF FACTS
DETAILS OF THE AMOUNT PAID BY THE COMPLAINANT TO THE RESPONDNET
REGULATION 8(DD)
AMOUNT PAID DATE OF
PAYMENT
MODE OF PAYMENT
CASH/CHEQUE/DD
PROOF OF
PAYMENT
PAGE NO. OF THE
PAPER BOOK AT
WHICH PROOF IS
ATTACHED
REGULATION (DDD)
AMOUNT FOR WHICH
INTEREST CLAIMED
AMOUNT OF INTEREST
CALCULATED TILL THE DATE OF
INSTITUTION OF COMPLAINT
RATE AT WHICH INTEREST
CLAIMED
ISSUES TO BE DECIDED
1. 1 TO 5 WHETHER -------------------------------------------------------------------------------------------------
RELIEF SOUGHT
ALL RELIEFS SOUGHTS SHOULD BE CLEARLY MENTIONED AND GIVING SR NO. EACH 1 TO 5
AFFIDAVITS
(A SELF ATTESTED AFFIDAVIT ON Rs. 10 STAMP PAPER SHALL BE SUBMITTED BY THE
COMPLAINANT IN THE FOMAT GIVEN BELOW)
I ----------------, S/o --------------, R/o----------- DO HEREBY SOLEMNLY AGGIRM AND STATE AS
UNDER:
1. THAT ALL THE FACTS AND SUBMISSIONS MADE IN THIS COMPLAINT ARE TRUE AND
CORRECT AND NOTHING MATERIAL HAS BEEN CANCEALED.
2. THAT NO SIMILAR COMPLAINT IS PENDING BEFORE THE ANY OTHER AUTHORITY, COURT
OF LAWM CONSUMER COMMISSION OR ANY OTHER TRIBUNAL (IF IT IS PENDING, THE
DETAILS THEREOF SHOULD BE GIVEN).
3. THAT A DRAF/BANKER’S CHEQUE BEARING NO.----------- DATED----------- OF ----------------
BANK OF Rs----------------- IS ANNEXED AS PRESCRIBED FEE.
4. A SELF ATTESTED COPY OF RESIDENCE PROOF IS ANNEXED.
DATE:-------
PLACE:…… DEPONENT
VARIFICATION:
THE STATEMENT MADE ABOVE ARE TRUE TO MY KNOWLEDGE.
DATE:-------
PLACE:…… DEPONENT
EACH DOCUMENT IS REQUIRED TO BE MARKED AS ANNEXUER
VAKALAT NAMA
(STAMP OF WELFARE SHOULD BE FIXED)
RERA Panchkula Haryana Complaint Format

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  • 2. REGULATION (DDD) AMOUNT FOR WHICH INTEREST CLAIMED AMOUNT OF INTEREST CALCULATED TILL THE DATE OF INSTITUTION OF COMPLAINT RATE AT WHICH INTEREST CLAIMED ISSUES TO BE DECIDED 1. 1 TO 5 WHETHER ------------------------------------------------------------------------------------------------- RELIEF SOUGHT ALL RELIEFS SOUGHTS SHOULD BE CLEARLY MENTIONED AND GIVING SR NO. EACH 1 TO 5 AFFIDAVITS (A SELF ATTESTED AFFIDAVIT ON Rs. 10 STAMP PAPER SHALL BE SUBMITTED BY THE COMPLAINANT IN THE FOMAT GIVEN BELOW) I ----------------, S/o --------------, R/o----------- DO HEREBY SOLEMNLY AGGIRM AND STATE AS UNDER: 1. THAT ALL THE FACTS AND SUBMISSIONS MADE IN THIS COMPLAINT ARE TRUE AND CORRECT AND NOTHING MATERIAL HAS BEEN CANCEALED. 2. THAT NO SIMILAR COMPLAINT IS PENDING BEFORE THE ANY OTHER AUTHORITY, COURT OF LAWM CONSUMER COMMISSION OR ANY OTHER TRIBUNAL (IF IT IS PENDING, THE DETAILS THEREOF SHOULD BE GIVEN). 3. THAT A DRAF/BANKER’S CHEQUE BEARING NO.----------- DATED----------- OF ---------------- BANK OF Rs----------------- IS ANNEXED AS PRESCRIBED FEE. 4. A SELF ATTESTED COPY OF RESIDENCE PROOF IS ANNEXED. DATE:------- PLACE:…… DEPONENT VARIFICATION: THE STATEMENT MADE ABOVE ARE TRUE TO MY KNOWLEDGE. DATE:------- PLACE:…… DEPONENT EACH DOCUMENT IS REQUIRED TO BE MARKED AS ANNEXUER VAKALAT NAMA (STAMP OF WELFARE SHOULD BE FIXED)