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Home / Real Estate Complaint Registration
Complaint Registration Form
Details of the
Complainant
Name of Complainant
*
Telephone Number
Mobile Number
*
Email Id
*
PAN No.
Passport No.
Whether the complainant is Buyer ?
*
Yes
No
Allotment Letter
*
Invoice of Purchase
*
Any other related Document
Official/Residential Address
Address line 1
*
Address line 2
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
--Select--
Pin Code
*
Address for Service of All Notices
Same as above
Address line 1
*
Address line 2
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
--Select--
Pin code
*
Complaint
Details
Complaint against ?
*
Project
Agent
Registered under Goa RERA ?
*
Yes
No
Reg No.
*
Name of Project
*
Name of Project Attached to
*
Type of Project
*
Select
Residential/Group Housing
Commercial
Mixed Development
Plotted Development
Re-Development
Total amount agreed to
*
Payment made so far till date
*
Name of Respondent
*
Name of Respondent/Agent
*
Name of Respondent/Promoter
*
Telephone Number
Mobile Number
*
Email Address
*
Subject of Complaint
*
Facts of Complaint
*
Relief Sought from RERA
*
Interim Order Required
*
Yes
No
Official/Residential Address
Address line 1
*
Address line 2
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
--Select--
Pin Code
*
Address for Service of All Notices
Same as above
Address line 1
*
Address line 2
*
State
*
--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
--Select--
Pin Code
*
Supporting
Documents
DELETE
Caption
Attachment
Add more
Payment
Amount (INR)
*
Declarations
I, complainant, here by declare that the subject matter of the above claim falls within the Jurisdiction of the Authority
I, complainant, here by declare that the matter regarding which the complaint has been made is not pending before any Court of Law or any other Authority or any other Tribunal(s)
I verify that the contents of the above sections are true to my personal knowledge and belief and I have not suppressed any material fact(s)