COMPLAINT AGAINST BANK

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PROTECTING CONSUMERS SINCE LAST 22 YEARS

BANKING OMBUDSMAN

Complaint format for Banking Ombudsman

FORMAT OF COMPLAINT TO FILE WITH THE BANKING OMBUDSMAN 

(TO BE FILLED UP BY THE COMPLAINANT)

To:

The Banking Ombudsman

Place of BO’s office….................................. Dear Sir,

 Sub: Complaint against............................... (Name of the bank’s branch) of

…………………………………………………………………………………(Name  of the Bank) Details of the complaint are as under:

1.   Name of the Complainant                              …………………..

 

2.  Full Address of the Complainant                   ……………………

……………………

…………………… Pin Code

………………..

Phone No/ Fax No............................................ Email

…………………….

 

3.  Complaint against (Name and full

address of the branch/bank)                       ………………………….

………………………….


Pin Code........................................................... Phone No. /

Fax No.          …………………….

4.  Particulars of Bank or Credit card Account (If any)

…………………………………………………………………………

(Please state the number and the nature of account viz. Saving bank/ current/ cash credit/ term deposit/ loan account etc. related to the subject matter of the complaint being made.)

 

5.  (a) Date of representation already made by the complainant to the bank (Please enclose a copy of the representation)

……………………….

 

 

(b) Whether any reminder was sent by the complainant? YES/NO (Please

 

 

enclose a copy of the reminder )

……………………….


6.  Subject matter of the complaint (Please refer to Clause 8 of the Scheme)

…………………………………………………………………………………………

…………………………

 

 

7.  Details of the complaint:

(If space is not sufficient, please enclose separate sheet)

…………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………

……………………………….........................

…………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………

……………………………….........................

 

8.  Whether any reply (Within a period of one month after the bank concerned received the representation) has been received from the bank?               Yes/ No

 

( if yes, please enclose a copy of the reply )

 

9.         Nature      of      Relief      sought      from      the      Banking      Ombudsman

 

………………………………………………………………………………

 

( Please enclose a copy of documentary proof, if any, in support of your claim )

 

10.    Nature and extent of monetary loss, if any, claimed by the complainant by way of compensation (please refer to clauses 12 (5) & 12 (6) of the Scheme) Rs.……………….

11.  List of documents enclosed:

(Please enclose a copy of all the documents)

 

12.  Declaration:

(i)  I/ We, the complainant/s herein declare that:

a)   the information furnished herein above is true and correct; and

b)    I/We have not concealed or misrepresented any fact stated in the above columns and in the documents submitted herewith.

 

(ii)  The complaint is filed before expiry of period of one year reckoned in accordance with the provisions of Clause 9(3)(a) and (b) of the Scheme.

(iii) The subject matter of the present complaint has never been brought before the Office of the Banking Ombudsman by me/ us or by any of the parties concerned with the subject matter to the best of my/ our knowledge.

(iv)  The subject matter of the present complaint has not been decided by/pending with any forum/court/arbitrator.


(v)  I/We authorise the bank to disclose any such information/ documents furnished by us to the Banking Ombudsman and disclosure whereof in the opinion of the Banking Ombudsman is necessary and is required for redressal of our complaint.

(vi)   I/We have noted the contents of the Banking Ombudsman Scheme, 2006

 

Yours faithfully,

 

 

(Signature of Complainant)

 

NOMINATION – (If the complainant wants to nominate his representative to appear and make submissions on his behalf before the Banking Ombudsman or to the Office of the Banking Ombudsman, the following declaration should be submitted.)

 

I/We             the             above             named             complainant/s             hereby             nominate Shri/Smt………………………………………….. who is not an Advocate and    whose address is

…………………………………………………………………………………………………………………

…………… as my/our REPRESENTATIVE in all proceedings of this complaint and confirm that any statement, acceptance or rejection made by him/her shall be binding on me/us. He/She has signed below in my presence.

ACCEPTED

 

(Signature of Representative)

 

 

(Signature of Complainant)

Note: If submitted online, the complaint need not be signed.

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