"Note : The complaint has to give full particulars of his grievance if necessary he has to submit Separate written compliant in Telugu/English and send it by way of attachment duly signed. "
List of documents enclosed(Please enclose copies of any relevant documents which support the facts giving rise to the grievance)
I/We, the Complainant/s herein declare that: the information furnished herein above is true and correct,and I/We have not concealed or Misrepresented any fact stated here in above and the documents submitted with. the subject matter of the present grievance has never been submitted to the forum by me/or by any one of us or by any one of the parties concerned with the subject matter to the best of my/our knowledge. the subject matter of my/our Grievance has not been settled through the forum in any previous proceedings. the subject matter of my/our Grievance has not been decided by any competent authority/court/arbitrator,and is not pending before any such authority/court/arbitrator.
(If the Complaint wants to nominate his representative to appear and make submission on his behalf before the forum,the following declaration should be submitted.)
As my/our REPRESENTATIVE in the proceedings and confirm that any statement,acceptance of rejection made by him/her shall be binding on me/us.He/She has signed below in my presence.
