FORM II [ See Rule 20 ] Petition under Sections 121/111 (6) of the Electricity Act 2003 Before the Appellate Tribunal for Electricity, New Delhi (Original Jurisdiction ) Original/Original Special Petition No………..of 200 ….. Between A.B. ………..Petitioner(s) And C.D. ………..Respondent(s) [ including appropriate commission/adjudicating officer ] ( with address ) The petitioner/s above named beg/s to prefer this original petition for issue of orders or instructions or directions under section 121 of the Electricity Act and state as follows : - 23 - 1. The address for service on the petitioner is ………………… 2. The address for service on Respondent/s appropriate commission/adjudicating officer is /are………………….. 3. Whether direction/order/rule/instruction sought for is within jurisdiction of the Tribunal under section 121. Set out the details and explain the circumstances under which the present original petition is being moved. 4. Set out the details of representations/demands made on the Respondent appropriate Commission and reply/order is any received. 5. Set out the grievance or prejudice caused to the petitioner and consequences of not issuing directions/orders/instructions prayed for. 6. Set out the basis of claims, legal contentions/grounds based on which reliefs are sought for. 7. Whether proceedings, if any already instituted before other forums and the result of the proceedings. 8. Whether any other remedy is available under the Electricity Act 2003 or any other Statutory Provision of Law or Rule, If so, why not invoked. (set out in detail ) 9. Whether petition in respect of reliefs prayed for any proceeding in pending before the Appellate Tribunal at the instance of Respondents / or any other third party. 10. Particulars of fee payable and details of bank draft in favour of the Pay and Accounts Officer, Ministry of Power, New Delhi. In respect of the fee for appeal. Name of the Bank __________________Branch _________payable _______________ 1. DD No.___________dated 2. 11. List of enclosures and copies filed : 1. - 24 - 2. 3. 12. Whether the copy of memorandum of petition with all enclosures has been forwarded to all respondents and all interested parties, if so, enclose postal receipt/comer receipt in addition to payment of process fee as prescribed by the rules. 13. Any other material particular which the Petitioner deems relevant for the petition may also be set out. 14. Relief sought for : a) b) c) Dated at ______________this day_______________of 200 . Counsel for Petitioner Petitioner - 25 - DECLARATION The petitioner (s) above named hereby solemnly declare (s) that nothing material has been concealed or suppressed and further declare that the enclosures and typed set of material papers relied upon and filed herewith are original and fair reproduction of originals or true translation thereof. Verified at ____________dated at _________this day_________of ____200 . Counsel for Petitioner(s) Petitioner (s) VERIFICATION I __________________(Name of the petitioner) S/o.W/o.D/o. (indicate any one, as the case may be ) ___________age ____________working as __________ in the office of _______________resident of _______________ do hereby verify that the contents of the paras _____________to ___________are true to my - 26 - personal knowledge / derived from official record ) and para _________ to _______are believed to be true on legal advice and that I have not suppressed any material facts. Date : Place : Signature of the Petitioner or authorized officer
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