Complaint against [Name of the service provider/associated person]- regulation (3)- Grievance and Complaint Handling Procedure

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..... India (Write here the address of the Board) Dear Madam/Sir, Subject: Complaint against [Name of the service provider/associated person] I, hereby submit a complaint against [name of the service provider/associated person]. The details of the same are set out as under: Sl.No. Particulars Description 1 .....

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..... 8 Complete address of the service provider (Along with Email ID Phone No.) 9 Details of the alleged contravention of any provision of the Code or rules, regulations, or guidelines made thereunder or circulars or directions issued by the Board by a service provider or its associated persons. Please quote the exact .....

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..... 14 Does the complainant have a grievance? If so, how it may be redressed? 15 Is complaint being filed within forty-five days of the occurrence of the cause of action for the complaint? If not explain the reasons for delay. 16 Whether the fee of ₹ 2500 has been paid Y .....

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..... ort of the complaint. Yours faithfully Signature Name of the Complainant/Authorised Representative Verification I, . . . . . . . . . . . . . . . . . . . , the complainant/authorised representative of the complainant do hereby declare that what is stated above is true to the best of my knowledge and belief. Verified today, the . . . . . . . . . . . . . .....

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