FORM-VII FORM FOR LODGING COMPLAINT FOR NOT KEEPING SPECIAL APPOINTMENTS Appointment No (To be given by HPSEB) To be filled in by Consumer Consumer Account No. 1. Name & fullcomplainant address of the 2. 3. Name of office where appointment sought Date & time of appointment given 4. Brief description of complaint 5. Any other information which the consumer intends to add Signature of the Complainant/Consumer Tear off (To be perforated).............. ............................ ACKNOWLEDGEMENT TO BE FILLED BY THE HPSEB AND HANDED OVER TO THE COMPLAINANT Consumer A/C No. 6. 7. Complaint Ref. No. (to be given by the HPSEB) Applicant's name Date: 8. Received on date 9. Complaint received by 10. Brief detail of complaint 11. Target date complaint to resolve the Signature of authorized officer Designation: SEAL:
