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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

CONSUMER STANDARD COMPLAINT

BEFORE THE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT ……………………….

 

Complaint No.: __......................./……………..

…………………………………………………………………………………………….Complainant

Versus

………………………………………………………………………………………………Respondents

Complaint under Section 12 of The Consumer Protection Act 1986

Respectfully Sheweth:

1. That the relevant facts and the facts leading to filing of present complaint are given in brief hereunder in chronological order for the convenience of your honor :-

Date______

Events______

(a)

 

GROUNDS

2. That the above being the background of the case, the complainant is entitled to maintain and file the present complaint before this Hon'ble Forum on the following grounds amongst others, each one of which is without prejudice to others, and seeks the indulgence of this Hon'ble Forum to issue directions or orders to the opposite parties deemed appropriate :-

(a) That such an act and omission on the part of the opposite parties amounts to deficiency in service, restrictive trade practice and unfair trade practice under the purview of the Consumers Protection Act.

(b) That the complainant has suffered lot of avoidable mental

CONSUMER SETTING ASIDE INTERIM ORDER

 

BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT ……………

 

App. No.:____________./…………………….…. in Complaint No.: ______

………………………………………………………..Complainant/Applicant

Versus

……….…………………………………………………Respondent/Non-Applicants

Application for setting aside the ex-parte orders

Respectfully Sheweth:

1. That the above noted Complaint was fixed for _____ for _____.

2. That the OP/applicant could not put appearance before this Hon'ble forum on _____ due to the reqasons that _____

3. That the absence of the OP/Applicant on the date of hearing was neither intentional nor willful, but for the good and sufficient reasons hereinabove stated. Interest of justice

CONSUMER REVISION

 

BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT …………………..

Revision No.:______ of 20…….

………………………………………………………………………………………………….Petitioner

Versus

……………………………………..……………………………………………………………Respondents

Revision Petition under Section 17 (b) of the Consumer Protection Act, 1986

against the order dated ............................ of Ld. District Consumer Redressal Forum …………….. in case titled as _________________________

……………………………… Petitioner

 

________________ Through, Advocate

GROUNDS OF REVISION:

Respectfully …………………:

1. That the relevant facts and the facts leading to filing of present Revision are given in brief hereunder in chronological order for the convenience of your Lordships:-

Date______

Events ______

GROUNDS

2. That the humble Petitioner is invoking the jurisdiction of this Hon'ble Commission and seeking indulgence on the following grounds amongst others each one of which is without prejudice to and independent of other :-

(a) That the learned Forum below has acted with serious illegality in the exercise of jurisdiction vested in it by law. _________________________

(b) That there has been mis-appreciation of evidence and mis-application of the provisions of law by the Ld. Forum below. _____ _________________________

(c) That a breach of the rules of natural justice occurred in connection with the making of the decision. ____ _________________________________________

(d) That procedures that were required to be observed in connection with the making of the decision were not observed and there has been material irregularity in exercise of the powers vested with the Ld. forum below. _____ _________________________________

(e) That the decision was not authorized by the enactment in pursuance of which it was purported to be made. _____ ______________________________________

(f) That the making of decision was on improper exercise of the powers conferred by the enactment in

CONSUMER RESPONDENT ARREST

 

BEFORE THE HON'BLE DISTRICT CONSUMER DISPUTE REDRESSAL FORUM AT ………………….

App No :___________________ of 20…………………… in Complaint No: _______

Applicants/Complainants

Versus

 

Respondents/Non-Applicants

Application under Section 151, Order 38 Rule 1 and 2 of CPC read with Section 13 [4] [I] of The Consumer Protection Act, 1986 for ________________ arrest of the opposite parties Nos 1 and 2 before judgment

Respectfully ……………….:

1. That the complainants/applicants have filed the above complaint in this Hon'ble Forum, hearing whereof will take some time.

2. That when the complaint came up before this Hon'ble Forum on ___________, this Hon'ble Forum was pleased to issue notices to the respondents.

3. That _______

4. That seeing the conduct of the respondents Nos. _____________, the complainants/applicants have reasonable apprehensions that the respondent No. ______________ are doing so with intent to delay the complainant and to avoid the process of this Hon'ble Court and obstruct and delay the administration of justice, process of this Hon'ble Forum and execution of order that may

CONSUMER RELEASE OF DEPOSIT

 

BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT ………………..

Application No.: ______ of 20…. in Revision No.______

……………….………………………………………………………..Petitioner/Applicant

Versus

………………………………………………………………………….Respondents

Application for release of amount deposited by the OPs/Non-applicants

Respectfully …………………

1. That the above mentioned case is pending adjudication before this Hon'ble Commission.

2. That the OPs/petitioner has deposited a sum of Rs. ………….……… in the registry of this Hon'ble Commission from the proceeds of sale.

3. That the Ld. District Forum has

CONSUMER INTERIM ORDER

 

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT ……………………………

App. No.:______ of 20… in Complaint No.: ______

………………………………………………………………..……………………Complainant/Applicant

Versus

……………………………..……………………………………………………….Respondent/Non-Applicants

Application for interim order under Section 13 (3B) of Consumer Protection Act, 1986

Respectfully ………………………….

1. That the complainant has filed above complaint in this Hon'ble Forum hearing whereof will take some time.

2. That on perusal of the averments made in the complaint and the documents attached therewith it is amply evident

CONSUMER EXECUTION

 

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT ……___________…

App No _______________:______ of 20……_________……in Complaint No :______ of 20…………

……………………………………………………………………….Applicant/Complainant

Versus

…………….…………………………………………………………….Respondents/Non-applicants

Application Under Section 25 and 27 of the Consumer Protection Act 1986

Respectfully ……………………..-

1. That the applicant hereinabove has filed a complaint No. __________, which your honor were pleased to decide on _______________ [Annexure C-1] with the following directions to the respondents :-

2. That it is apparent from the above orders passed by this Hon'ble Forum that the order was comprehensive, unambiguous and clear in directing the respondents to comply with the same within __________ days.

3. That the said orders of this Hon'ble Forum were duly served on the respondents. ________ Legally the service of the above orders is complete on the respondents.

4. That despite the orders of this Hon'ble forum having duly been served on and brought to the notice of the respondents, the respondents have not complied with the same within the specified period.

5. That the respondents have thus conducted themselves in the most reprehensible manner showing scant regard to the orders of this Hon'ble Forum which conduct on their

CONSUMER EXECUTION 2

 

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT …………………..

Application No : ______ of 20…………….in Complaint No : _______

………………………………………………………………………………..Applicant/Complainant

Versus

…………………………………………………………………………………Respondents/Non-applicants

Application Under Section 25 and 27 of the Consumer Protection Act 1986

Respectfully ………………-

AND FOR THIS ACT OF KINDNESS, THE HUMBLE APPLICANT AS IN DUTY BOUND, SHALL EVER PRAY

……………………………….. Applicant

 

______ Through, Advocate

 

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT ……………………….

Application No : ______ 20……… in

CONSUMER EVIDENCE ON AFFIDAVIT

 

BEFORE THE HON'BLE TN STATE CONSUMER REDRESSAL COMMISSION AT COIMBATORE

Complaint No. : ______ /20………..

………….……………………………………………………………………………………..Complainant

Versus

…………………..………………………………………………………………………………Respondents

Evidence by the complainant by way of Affidavit in Support of HIS complaint

I, _______________________, aged _________ years, presently Administrator,…. ______, do hereby solemnly affirm and declare as under:-

1. That I have filed documents with the original complaint which may kindly be read as evidence. The contents of the Original Complaint may

CONSUMER COMPLAINANT WITHDRAWL

 

BEFORE THE HON'BLE DISTRICT CONSUMER REDRESSAL FORUM AT …………………………..

App. No.:______ /…………..in Complaint No.: _______

…………………………………………………………………………………………..Complainant

Versus

________…………………………………………………………………………..Respondent

Application for Withdrawal of Complainant

Respectfully Sheweth:

1. That the above noted Complaint was filed in this Hon'ble Forum by the complainant on __________.

2. That the complainant wants to withdraw the above complaint as the complainant has reached to compromise / wants to avail of the alternative remedy.

3. It is, therefore, most

BEFORE THE HON'BLE TN STATE CONSUMER

REDRESSAL COMMISSION AT THANE

 

Appeal No.:__________ /_____________…..

Memo of Parties

___________________________…………………………………………………………….Appellant

Versus

________________………………………………………………………………………………….Respondents

Appeal under Sections 15 & 17 (a) (ii) of the Consumer Protection Act, 1986 against the order dated _____ of Ld. District Consumer Redressal Forum THANE, in case titled as _____ THANE

……………………………………………..Appellant

 

Through, Advocate

GROUNDS OF APPEAL:

Respectfully ……………………

1. That the relevant facts and the facts leading to filing of present Appeal are given in brief hereunder in chronological order for the convenience of your Lordships:-

Date ______

Events _____

 

GROUNDS

2. That the humble appellant is invoking the jurisdiction of this Hon'ble Commission and seeking indulgence on the following grounds amongst others each one of which is without prejudice to and independent of other :-

(a) That the learned Forum below has acted with serious illegality in the exercise of jurisdiction vested in it by law. _____________________________

(b) That there has been mis-appreciation of evidence and mis-application of the provisions of law by the Ld. Forum below. ________ ______________________

(c) That a breach of the rules of natural justice occurred in connection with the making of the decision. ________ _________________________

(d) That procedures that were required to be observed in connection with the making of the decision were not observed. ________ _______________________

(e) That the decision was not authorized by the enactment in pursuance of which it was purported to be made. ________ _________________________________

(f) That the making of decision was on improper exercise of the powers conferred by the enactment in pursuance of which it was purported to be made. ____________________________

(g) That decision