File complaint under Consumer Protection Act 2019

File a complaint under Consumer Protection Act, 2019

You will get just ONE CHANCE to fill this form and then it would be blocked for you after submission. Hence, make sure you have the transaction details for the Rs 500 fee paid to us. Fill-in all the fields with correct information. After submission, you would receive a copy of this form by email with your complaint reference number. There is an option to upload your documents at S No 17 in this form. So, prepare your file upload below 5 MB in pdf, doc or docx format beforehand to upload here in this form. No need to send documents by courier if you uploaded files below 5 MB. If your files are higher than 5 MB, you can send the documents by courier using email print of form submission as cover letter with your complaint documents. You can get the bank details from payment@icrpc.org for making Rs 500 fee payment. ONCE YOU SUBMIT THIS FORM YOU WILL NOT BE ABLE TO SUBMIT ANOTHER FORM AS IT WOULD BE LOCKED FOR YOU. This is to avoid spam by multiple submissions and fake submissions.
Please do not fill fake transaction ID and fake psyment details with an expectation to use our services FREE without paying for our hard work. All payment reference numbers are verified and if found wrong or fake, your submission would be rejected and you will not get another chance to fill another complaint form. We may not even deal with such cheaters any more.
1. Netbanking transaction number for Rs 500 payment *
Download procedure document from www.icrpc.org to get bank details
2. Transaction through which bank? *
Write bank name through which you paid Rs 500
3. Netbanking Transaction date *

Day Month Year
Please write correct details else your complaint would be rejected
4. Complainant's Name *

First Name Last Name
5. Complainant's City *
Your city of residence
6. Complainant's Email *
example@example.com
7. Complainant's Cell Number *
10 digit mobile phone number
8. Complainant's Full Address *

Address line 1

Address Line 2

City State

Pin Code
9. Opposite Party's (company's) Name
10. Opposite Party's (Company's) Registered Office address *

Address Line 1

Address Line 2

City State

Pin Code
11. Email of the Registered Office of the Opposite Party *
example@example.com
12. Phone number of the Opposite Party at Registered Office *
Example: 022-12345678 or 1234567890 (for landline or cell)
13. Address of dealer / service center with whom you dealt in your city (if any)

Address Line 1

Address Line 2

City State

Pin Code
14. Email of dealer / service center (if any)
example@example.com
15. Phone number of the dealer / service center
Example: 022-12345678 or 1234567890 (for landline or cell)
16. Write your complaint summary *
You can even upload your detailed complaint as an attached file (see S No 17)
17. Upload files (max 5 MB) in doc, docx format (saved in MS word)

Browse files on your computer
You can also send all the documents by courier with your complaint Cancel of
Date

Day Month Year
Date Hour Minutes AM/PM Option
Should be Empty:

File a complaint under Consumer Protection Act, 2019