11. Declaration

(a) I/ We, the Complainant /s herein declare that:
(i) the information furnished herein above is true and correct; and
(ii) I/ We have not concealed or misrepresented any fact stated hereinabove and the documents submitted herewith.
(b) The subject matter of the present Grievance has never been submitted to the Forum by me/ or by any one of us or by any of the parties concerned with the subject matter to the best of my/ our knowledge.
(c) The subject matter of my / our Grievance has not been settled through the Forum in any previous proceedings.
(d) The subject matter of my / our Grievance has not been decided by any competent authority/court/arbitrator, and is not pending before any such authority/court/arbitrator.
Yours faithfully
(Signature)
(Complainant's name in block letters)
Nomination.
Accepted
(Signature of Representative)
(Signature of Complainant)
Annexure- II
Annexure- II
Submission of Representation Before Ombudsman
Submission of Representation Before Ombudsman
Representation Before The Ombudsman
Representation Before The Ombudsman
Note: * indicates compulsory fields