Format of Affidavit for Consumer Drinks

Format of Affidavit for Consumer Drinks

Format of Affidavit for Consumer Drinks
Format of Affidavit for Consumer Drinks

BEFORE THE PRESIDENT DISTRICT CONSUMER DISPUTES  REDRESSAL FORUM, _____

_____ son of _____, resident of _____.

COMPLAINANT

VERSUS
1-    _____ son of _____, resident of _____.

2-    _____, _____ through its _____.

…..RESPONDENTS

Complaint Under Section _____ of the Consumer Protection Act _____ Amended up to date

Sir,

The complainant respectfully submits as under: –
1-    That the complainant purchased _____ drinks marked as _____ on _____ from the shop of the respondent No.1 and out of the said _____ bottles one bottle was drinked by the _____ of the complainant
2-    That the respondent No.1 is the retailer /seller of the products of the respondent No.2 and the complainant purchased _____ bottles _____. Each from the respondent No.1 so both the respondents being the seller and manufacturer of the _____ Drinks respectively. Thus the complainant is the consumer of both the respondents as defined under the various relevant provisions of the consumer Protection Act.
3-    That the _____ of the complainant after _____.
4-    That the complainant sent a legal notice dated _____ to the respondent No.1 calling upon him to release the bills regarding the purchase of bottle and the respondent No.1 gave the said Bill that was as Bill No. _____ dated _____ in favour of the respondent No.1, by _____ Drinks. (Copy of the same is enclosed herewith the complaint).
5-    That due to the deficient and wrong service of the respondents the health of the complainant’s _____ was effected and the complainant was mentally and monetarily shocked.  The complainant is entitled to receive _____/- as treatment charges of his _____from both the respondents jointly and severally
6-    That the complainant is residing at _____  and the Respondent No.1 is doing his business at _____ and the respondent No. 2 is supplying the drinks at _____ at the shop of the respondent No.1 within the territorial jurisdiction of this Hon’ble Forum, therefore, this Hon’ble Forum has got the jurisdiction to entertain and try the present complaint.

PRAYER:
It is, therefore, prayed that in view of the forgoing facts and circumstances this hon’ble court may kindly be pleased to:
i)    Pass an order directing the respondents to pay _____/- to the complainant jointly and severally on account of mental tension, agony and harassment suffered by the complainant due to the ill health of his _____.
ii)    It is further prayed that the respondents may also kindly be directed to pay _____/- as charges of treatment spent by the complainant on the treatment of his _____.
iii)    Costs of this petition may kindly be awarded in favour of the complainant and against the respondents.
iv)    Any other relief, which this Hon’ble Forum may deem fit and proper, be passed in favour of the complainant and against the respondents.

Dated______

THROUGH COUNSEL:

_____ Advocate, _____

Format of Affidavit for Consumer Case for Vehicle Insurance Claim

Format of Affidavit for Consumer Case for Vehicle Insurance Claim

Format of Affidavit for Consumer Case for Vehicle Insurance Claim
Format of Affidavit for Consumer Case for Vehicle Insurance Claim

BEFORE THE PRESIDENT DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, _____, _____

Complaint No._____ of _____ Under Consumer Protection Act

_____                                   …..Complainant
Versus
_____                                   …..Respondents

Complaint under section _____ of the consumer Protection Act, _____

EVIDENCE BY WAY OF AFFIDAVIT OF THE COMPLAINANT

I, _____ son of _____ resident _____ at present Resident of _____ do hereby solemnly affirm and declare as under:-

1-    That the deponent is the consumer of the respondent as defined under the consumer protection Act, _____.

2-    That the deponent is the registered owner of the vehicle _____ bearing its Registration No. _____ Engine No. _____, Chassis No. _____, Model _____. The said vehicle was get insured by the deponent with the respondent insurance company vide insurance policy No. _____ which was valid with effect from _____ to midnight of _____ covering all type of risks therein. As per the insurance policy issued by the respondent to the deponent , the said vehicle was get insured for the amount  of _____/- (_____) . A photocopy of the insurance policy and a photocopy of Registration Copy of _____ No. _____ are exhibited herewith as _____.

3-    That at the time of issuance of the above said insurance policy, the respondent had assured the deponent that the respondent would pass insurance claimed and make the payment of the claimed amount immediately, if the said vehicle will meet with accident or will be stolen at any point of time with  in the validity period of the said insurance policy .

4-    That in the mid night of _____ at about _____. The deponent parked his above said _____ in front of _____ in _____, but the said vehicle was stolen by someone in the night of _____. The deponent searched the said vehicle everywhere, but the where about of the said vehicle were not traced by the deponent. Hence the deponent got registered the FIR in the police station _____ bearing its FIR  No. _____, dated _____ U/S. _____IPC regarding the theft of the said _____ against unknown thief. The copy of the FIR is exhibited herewith as _____.

5-    That just after the steeling of the said vehicle of the deponent intimated the respondent and also submitted the FIR and all the relevant documents to the respondent regarding the steeling of the said vehicle.

6-    That then after the deponent approached the respondent and requested to make the payment of the insured amount by raising the insurance claim in the office of the respondent. In this regard the respondent had issued the claim no. _____ and the respondent demanded the copy of the untraced  report or final report from the deponent on _____.

7-    That upon the application of the deponent the Hon’ble court of _____, has declared the above-mentioned vehicle as untraced vide its order dated  _____. The copy of the order dated _____ is exhibited herewith as _____.

8-    That then after the deponent personally visited the office of the respondent and met with the respondent and again approaching for claim in writing and submitted the final report along with the copy of the untraced report, photocopy of insurance policy , copy of the FIR, NCR  Report, and copy of the R.C. of the said vehicle vide application dated _____.

9-    That the respondent being the insurer of the above mentioned vehicle of the deponent and the above said  vehicle has been stolen in the validity period of insurance policy, hence the respondent is liable and duty bound to pay the insurance claim as per the terms and conditions of the said policy to the deponent as soon as, but the respondent is trying to escape from their responsibility and liability to make the payment of the claimed amount to the deponent in arbitrary manner, hence the deponent  is legally entitled to recover the amount of insurance claim along with interest from the respondent as per the terms and conditions of the insurance policy .

10-    That the cause of action to file the present complaint accrued on each and every date when the deponent requested the respondent to make the payment of the insurance claimed amount and the cause of action finally accrued on _____ when the respondent has finally refused to make the payment of the insurance claimed amount to the deponent.

11-    That the relevant documents which are produced before this Hon’ble Forum may kindly be read in my evidence.

Verification:-

Deponent

Verified that the above contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein
Verified at _____ on _____

Deponent

Format of Complaint For Friendly Loan

Format of Complaint For Friendly Loan

Format of Complaint For Friendly Loan
Format of Complaint For Friendly Loan

In the Court of Hon’ble Judicial Magistrate ________

_______, R/o _______

…..Complainant.

VERSUS

1- _______,

2- _______
…..Accused.

Criminal Complaint Under Section _______of Negotiable Instruments read with Section _______ of the Act & Under Section _______ I.P.C.

Sir,
The complainant most respectfully submits as under:-
1- That the accused and the complainant are having friendship relations since long time and are well known to each other. The accused requested the complainant to lend some money as friendly loan as the accused was in dire need of money for his some urgent work. Keeping in view friendly relations the complainant could not ignore the requests of the accused and he gave a friendly loan of _______/- to the accused on _______. At the time of taking this loan amount the accused assured to repay the same to the complainant within the period of _______months positively.
2- That after admitting their liability to refund/repay the outstanding amount/debt, the accused No. 2 being the _______ of the accused No.1 company issued account payee Cheque No. _______ dated _______ for _______/- drawn on _______ in favour of the complainant.
3- That as per the instructions and directions of the accused the complainant presented the said Cheque for encashment through its Banker i.e. _______ on _______but to the utter surprise of the complainant the above-said Cheque was dishonoured by the banker of the accused i.e _______ due to the reason “Funds Insufficient / _______” vide _______ cheque return Memo dated _______. The intimation in this regard was communicated to the complainant by his banker
4- That at the time of issuing the above mentioned Cheque the accused was well aware that the said Cheque would be dishonoured due to the _______ as the accused had no _______ in the accused Bank Account to encash the same. Thus the accused have committed an offence Under Section ___ of the _______ and Under Section _____ of _______ as the accused issued the false and bogus Cheque intentionally to cheat the complainant and the accused are liable to be punished and prosecuted as per the provisions of the Act.
5- That at the inception the intention of the accused was to cheat and defraud the complainant at the time of taking the personal loan amount from the complainant and the accused had a malafide and dishonest intention to obtain the personal loan amount and not to refund the payment for the same. The accused induced the complainant to believe that he would refund the loan amount to the complainant but he intentionally and deliberately did not refund the same as he had dishonest intention. Thus the accused has damaged to the mind, body and reputation of the complainant and has committed an offence of cheating.
6- That the complainant resides at _______, banker of the accused is situated at _______, the demand was made from _______, and thus entire cause of action accrued in favour of the complainant within the territorial jurisdiction of this Hon’ble court and therefore the present complaint is maintainable in the present form.

PRAYER:-

It is, therefore, most respectfully prayed that in view of the submissions made in the foregoing Paras of this complaint and in view of offences committed by the accused Under Section _______ of _______ read with section ___ of the Act and Under Section ___, the accused may kindly be summoned and punished by this Hon’ble court as per the provisions and requirement of law.

Dated: _______

Complainant

Through counsel
___________ Advocate, _______

Affidavit format for Consumer Case for Vehicle Insurance Claim

Affidavit format for Consumer Case for Vehicle Insurance Claim
Affidavit format for Consumer Case for Vehicle Insurance Claim

BEFORE THE PRESIDENT DISTRICT CONSUMER DISPUTES REDRESSAL FORUM, _____, _____

Complaint No._____ of _____ Under Consumer Protection Act

_____                                   …..Complainant
Versus
_____                                   …..Respondents

Complaint under section _____ of the consumer Protection Act, _____

EVIDENCE BY WAY OF AFFIDAVIT OF THE COMPLAINANT

I, _____ son of _____ resident _____ at present Resident of _____ do hereby solemnly affirm and declare as under:-

1-    That the deponent is the consumer of the respondent as defined under the consumer protection Act, _____.

2-    That the deponent is the registered owner of the vehicle _____ bearing its Registration No. _____ Engine No. _____, Chassis No. _____, Model _____. The said vehicle was get insured by the deponent with the respondent insurance company vide insurance policy No. _____ which was valid with effect from _____ to midnight of _____ covering all type of risks therein. As per the insurance policy issued by the respondent to the deponent , the said vehicle was get insured for the amount  of _____/- (_____) . A photocopy of the insurance policy and a photocopy of Registration Copy of _____ No. _____ are exhibited herewith as _____.

3-    That at the time of issuance of the above said insurance policy, the respondent had assured the deponent that the respondent would pass insurance claimed and make the payment of the claimed amount immediately, if the said vehicle will meet with accident or will be stolen at any point of time with  in the validity period of the said insurance policy .

4-    That in the mid night of _____ at about _____. The deponent parked his above said _____ in front of _____ in _____, but the said vehicle was stolen by someone in the night of _____. The deponent searched the said vehicle everywhere, but the where about of the said vehicle were not traced by the deponent. Hence the deponent got registered the FIR in the police station _____ bearing its FIR  No. _____, dated _____ U/S. _____IPC regarding the theft of the said _____ against unknown thief. The copy of the FIR is exhibited herewith as _____.

5-    That just after the steeling of the said vehicle of the deponent intimated the respondent and also submitted the FIR and all the relevant documents to the respondent regarding the steeling of the said vehicle.

6-    That then after the deponent approached the respondent and requested to make the payment of the insured amount by raising the insurance claim in the office of the respondent. In this regard the respondent had issued the claim no. _____ and the respondent demanded the copy of the untraced  report or final report from the deponent on _____.

7-    That upon the application of the deponent the Hon’ble court of _____, has declared the above-mentioned vehicle as untraced vide its order dated  _____. The copy of the order dated _____ is exhibited herewith as _____.

8-    That then after the deponent personally visited the office of the respondent and met with the respondent and again approaching for claim in writing and submitted the final report along with the copy of the untraced report, photocopy of insurance policy , copy of the FIR, NCR  Report, and copy of the R.C. of the said vehicle vide application dated _____.

9-    That the respondent being the insurer of the above mentioned vehicle of the deponent and the above said  vehicle has been stolen in the validity period of insurance policy, hence the respondent is liable and duty bound to pay the insurance claim as per the terms and conditions of the said policy to the deponent as soon as, but the respondent is trying to escape from their responsibility and liability to make the payment of the claimed amount to the deponent in arbitrary manner, hence the deponent  is legally entitled to recover the amount of insurance claim along with interest from the respondent as per the terms and conditions of the insurance policy .

10-    That the cause of action to file the present complaint accrued on each and every date when the deponent requested the respondent to make the payment of the insurance claimed amount and the cause of action finally accrued on _____ when the respondent has finally refused to make the payment of the insurance claimed amount to the deponent.

11-    That the relevant documents which are produced before this Hon’ble Forum may kindly be read in my evidence.

Verification:-

Deponent

Verified that the above contents of this affidavit are true and correct to the best of my knowledge and belief and nothing has been concealed therein
Verified at _____ on _____

Deponent