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COMPLAINT REGISTRATION FORM – For Clients
1. General Informaton:

A. Personal Details





B. NERL Account Details

C. Bank Account Details

2. Details of Trading Member against whom you intend to complaint


3. Nature of your Complaint: (please tick relevant box)*

(please tick relevant box)

4. Details of claim (Provide statement of Calculation)

Statement of Calculations*

Amount (in Rs.)*

plus minus
5. Details of Complaints taken up with Trading Member:
6. Additional information (if any):

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