Dhanwanthari Victims Forum — Investor Statement & Complaint

DHANWANTARI VICTIMS FORUM

Victims’ Rights Protection Trust (Reg No. 209/2025)

Investor Statement [AFFIDAVIT] with Complaint for Bail Cancellation

Name (Applicant / Complainant)

CCS Registration No.

Dhanwanthari Membership No.

Mobile No. (10 digits)

A popup will confirm your number after you type it.

Total Investment (INR)

Enter numeric amount. Amount in words will be auto-generated and is required.

Total Investment (in words) — mandatory

Interest Unpaid Since (Month & Year)

Nominee Name (optional)

Additional Complaint Details (optional)