The fee to be accompanied with an appeal filed under sub-section
(2) of section 33C of the Act shall be the same as specified under the Telecom Disputes Settlement and Appellate Tribunal (Form, Verification and the Fee for filing an appeal) Rules, 2003 as amended from time-to-time.
Form A (See rule 6) IN THE TELECOM DISPUTES SETTLEMENT ANDAPPELLATE TRIBUNAL AT NEW DELHI APPELLATE JURISDICTION APPEAL NO. /20[•] IN THE MATTER OF THE AADHAAR (TARGETED DELIVERY OF FINANCIAL AND OTHER SUBSIDIES, BENEFITS AND SERVICES) ACT, 2016 (18 OF 2016) AND IN THE MATTER OF APPEAL AGAINST THE ORDER MADE ON [•] BY [•] A.B. (Name and Address (registered address, if an entity) of the person or entity in the Aadhaar ecosystem through their duly authorised representative (Aadhaar number/PAN/DIN), if any, along with email id of the Appellant) ..….Appellant(s) C.D. (add description of the Adjudicating Officer, and 'others' along with address. The details of each respondent are to be given in a chronological order.)
....Respondent(s)
1. Details of appeal:
[give the particulars of the decision or order of the Adjudicating Officer against which the appeal is preferred].
2. Jurisdiction of the Appellate Tribunal:
[The appellant declares that the subject matter of the decision or order against which appeal is filed is within the jurisdiction of this Hon'ble Appellate Tribunal as per subsection (1) of Section 33 C of the Aadhaar (Targeted Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016.]
3. Limitation:
[The Appellant further declares that the appeal filed is within the period as specified in sub-section (2) of section 33C of the Aadhaar (Targeted Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016.]
Or [The Appellant further declares that the present appeal is beyond the period specified in sub-section (2) of section 33C of the Aadhaar (Targeted Delivery of Financial and Other Subsidies, Benefits and Services) Act, 2016 for reasons stated hereinunder:]
4. Synopsis of the case:
[Give here a concise statement of facts in a chronological order, each paragraph containing as nearly as possible a separate, issue, fact or otherwise.]
5. Grounds of appeal:
6. Matters not previously filed or pending with any other court:
The appellant further declares that it or he has not previously filed any writ petition or suit regarding the similar subject matter in respect of which this appeal has been made before any court or tribunal or any other authority nor any such writ petition or suit is pending before any of them.
7. Relief(s) sought:
In view of the facts mentioned in para 4 above, the appellant prays for the following relief(s): (Specify below the relief(s) sought explaining the grounds for such relief(s) and the legal provisions, if any, relied upon.)
8. Interim order, if any, prayed for:
Pending final decision on the application, the appellant seeks issue of the following interim order: (Given here the nature of the interim order prayed for with reasons).
9. Details of Index:
(An Index containing the details of the documents to be relied upon is enclosed and also mentioned in List of enclosures).
10. Particulars of bank draft drawn in favour of the Drawing and Disbursing Officer, Telecom Disputes Settlement and Appellate Tribunal in respect of the fee for appeal.
List of enclosures:
1. Certified copy of the order against which appeal is sought;
2. Copy of the authorisation in favour of authorised representative;
3. Order of condonation of delay, if any;
4. Optional enclosures, if any.
Verification I ....................................(Name of the appellant or authorised representative) 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 personal knowledge (derived from official record maintained by the appellant in its usual course of business) and paras...................... to ................. believed to be true on legal advice and that I have not suppressed any material facts.
Date:
Place:
Signature and stamp of the appellant or authorised representative Name, address, contact details including mobile number and email address of the appellant or authorised representative (Aadhaar number/PAN/DIN)