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    Complaint View

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    AjayGupta
    The document is a complaint form containing details of a lost or stolen cash receipt book. It provides identifying information of the complainant such as name, address, contact details. It also describes the incident where multiple cash receipt books containing certain receipt numbers were lost. The complainant requests assistance in tracing the missing books. The form captures additional information like date of complaint, mode of receiving the complaint and some remarks. It is a 2 page document with signatures of the person filing the report.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Complaint View

    Uploaded by

    AjayGupta
    29 views2 pages
    The document is a complaint form containing details of a lost or stolen cash receipt book. It provides identifying information of the complainant such as name, address, contact details. It also describes the incident where multiple cash receipt books containing certain receipt numbers were lost. The complainant requests assistance in tracing the missing books. The form captures additional information like date of complaint, mode of receiving the complaint and some remarks. It is a 2 page document with signatures of the person filing the report.

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    complaint

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    The document is a complaint form containing details of a lost or stolen cash receipt book. It provides identifying information of the complainant such as name, address, contact details. It also describes the incident where multiple cash receipt books containing certain receipt numbers were lost. The complainant requests assistance in tracing the missing books. The form captures additional information like date of complaint, mode of receiving the complaint and some remarks. It is a 2 page document with signatures of the person filing the report.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views2 pages

    Complaint View

    Uploaded by

    AjayGupta
    The document is a complaint form containing details of a lost or stolen cash receipt book. It provides identifying information of the complainant such as name, address, contact details. It also describes the incident where multiple cash receipt books containing certain receipt numbers were lost. The complainant requests assistance in tracing the missing books. The form captures additional information like date of complaint, mode of receiving the complaint and some remarks. It is a 2 page document with signatures of the person filing the report.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Add New Complaint Details

    “_ͧž€ȡ™€ȡͪšŽ‡Ȫ°Ʌ

    1. Complaint No.
    ͧž€ȡ™ Ȳ  District
    ǔ‡›ȡ ›“a

    Police Station
    ȡ“ȡ ‚Ȫ˜Ȣ“‚š Date of Complaint
    ͧž€ȡ™€ȧǑ‘“ȡȲ€ 

    2. Details of the complainant


    ͧž€ȡ™€ȡ[€ȡͪšŽ

    a) Nature of Complaint
    ͧž€ȡ™€ȡĤ€ǙǓ Ȫ™ȢèǕ

    b) UID No.
    ™Ǘ]_ŒȢ Ȳ 

    c) Name
    “ȡ˜ ALOK RAI d) Father's/Husband's Name
    ͪ”ȡ”Ǔ€ȡ“ȡ˜ 

    e) Landline No.
    ›ɇŒ›ȡ^“ Ȳ  f) Mobile No.
    ˜Ȫ–ȡ^› Ȳ 

    g) Age
    ]™Ǖ  h) Date of Birth
    ‡Û˜Ǔͬ 

    i) Email ID
    _˜ȯ›]_ŒȢ nh.bajaj76@gmail.com j) Country of Nationality
    šȡçĚȣ™ȡ¡ȯǕ‘ȯž 

    k) Address
    ”ȡ

    S.No. Address Type


    ”ȡ€ȡĤ€ȡš Address
    ”ȡ

    Đ Ȳ
    1 [˜ȡ“”ȡ 2/377,VIRAM KHAND,GOMTI NAGAR,LUCKNOW,UTTAR PRADESH,›“a`׏šĤ‘ȯž—ȡš
    2 [˜ȡ“”ȡ 2/377,VIRAM KHAND,GOMTI NAGAR,LUCKNOW,UTTAR PRADESH,›“a`׏šĤ‘ȯž—ȡš

    3. Identification Details of the complainant


    ͧž€ȡ™€ȡ[€ȡ”¡…ȡ“ͪšŽ 

    S.No.
    Đ Ȳ Identification Type
    ”¡…ȡ“Ĥ€ȡš Identification No.
    ”¡…ȡ“ Ȳ

    4. Details of the Accused


    \ͧ—™Ǖȏ€ȡͪšŽ 

    1 a) UID No.
    ™Ǘ]_ŒȢ Ȳ  b) Name of Accused
    \ͧ—™Ǖȏ€ȡ“ȡ˜ ALOK RAI

    c) Mobile No.
    ˜Ȫ–ȡ^› Ȳ 

    d) Landline No.
    ›ɇŒ›ȡ^“ Ȳ 

    e) Address
    ”ȡ

    S.No. Address Type


    ”ȡ Address
    ”ȡ

    Đ Ȳ
    €ȡĤ€ȡš
    1 [˜ȡ“”ȡ 2/377, VIRAM KHAND, GOMTI NAGAR, LUCKNOW, ‚Ȫ˜Ȣ“‚š›“a`׏šĤ‘ȯž
    2 èȡ™Ȣ”ȡ 2/377, VIRAM KHAND, GOMTI NAGAR, LUCKNOW, ‚Ȫ˜Ȣ“‚š›“a`׏šĤ‘ȯž

    5. Incident Details
    ƒŠ“ȡ€ȡͪšŽ

    a) Place of Incident
    ƒŠ“ȡ€ȡèȡ“ GOMTI NAGAR, LUCKNOW

    b) Type of Incident
    ƒŠ“ȡ€ȡĤ€ȡš 

    c) Is Date/time of incident known


    șȡƒŠ“ȡ€ȧǑ‘“ȡȲ€ ˜™£ȡ¡Ȱ! “¡ȣȲ

    d) Uploaded Document
    \”›ȪŒͩ€f‚f‘èȡȯ‡

    S. No.
    Đ Ȳ File Name
    ¹ȡ^›€ȡ“ȡ˜ Description
    ͪšŽ
    1

    Page 1 of 2
    e) Date & Time of Incident From
    ƒŠ“ȡ€ȧǑ‘“ȡȲ€kš ˜™ ȯ –‡ȯ

    f) Date & Time of Incident To


    ƒŠ“ȡ€ȧǑ‘“ȡȲ€kš ˜™€ –‡ȯ

    6. Complaint Details
    ͧž€ȡ™ͪšŽ

    a) Date of Complaint
    ͧž€ȡ™€ȧǑ‘“ȡȲ€ 

    b) Uploaded Document
    \”›ȪŒͩ€f‚f‘èȡȯ‡

    S. No.
    Đ Ȳ File Name
    ¹ȡ^›€ȡ“ȡ˜ Description
    ͪšŽ
    1

    c) Mode of Receipt
    Ĥȡǔ܏€ȧͪͬ’ 

    d) Remarks
    ǑŠÜ”ͨŽ™ȡȱ 

    e) Complaint Description
    ͧž€ȡ™ͪšŽ 
    I, ALOK RAI, AM WORKING A FIELD SUPERVISOR FOR HOME CREDIT INDIA FINANCE CASH COLLECTION PROCESS WITH NEW
    HORIZONS, LOST CASH RECEIPT BOOKS PROVIDED BY HOME CREDIT BOOK NO 18-2910 CONTAINING FROM RECT NO.1800218176 TO
    1800218250, BOOK NO.18-2913 CONTAINING RECEIPT NO. FROM 1800218401 TO 1800218475, BOOK NO.18-5481 CONTAINING RECEIPT NO.
    FROM 1800411001 TO 1800411075, BOOK NO.18-2911 CONTAINING RECEIPT NO. FROM 1800218251 TO 1800218325, BOOK NO.18-2912
    CONTAINING RECEIPT NO. FROM 1800218326 TO 1800218400 AND BOOK NO. 18-5489 CONTAINING RECEIPT NO.FROM 1800411601 TO
    1800411675 .YOU ARE HEREBY REQUESTED TO DO THE NEEDFUL IN ORDER TO TRACE THESE BOOKS.

    Report Printed on
    ǐš”ȪŠ[˜ǕġŽ€ȧǑ‘“ȡȲ€ –‡ȯ Signature
    ¡èȡ¢š 

    Report Printed by
    ǔ‡ €ȯɮȡšȡǐš”ȪŠ[˜ǕǑġ  Name
    “ȡ˜ Ajay Gupta

    Rank
    ”‘ 

    No.
     Ȳ 

    Page 2 of 2

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