A PROFORMA FOR COMPLAINT TO ADJUDICATING OFFICER

UNDER INFORMATION TECHNOLOGY ACT - 2000 

 

I

1. Name of the Complainant

 

2. E-mail address

 

3. Telephone No.

 

4. Address for correspondence

 

5. Digital Signature Certificate, if any

II

 

1. Name of the Respondent

 

2.  E-mail address

 

3.  Telephone No.

 

4. Address for correspondence

 

5. Digital Signature Certificate, if any

III

 

Damages claimed

 

Fee deposited

 

Demand Draft No.____________dated __________Branch_______

 

IV 

 

Complaint under Section/Rule/Direction/Order etc.

 

V 

 

Time of Contravention

 

VI 

 

Place of Contravention

 

VII 

 

Cause of action

 

VIII 

 

Brief facts of the case

 

 

 

 

 

 

(Signature of the Complainant)

 

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