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To

Sr. Inspector,
Amboli Police Station
Mumbai – 400058.

Subject: - Complaint against ___________aged not known residing at


1087/___________ for fraudulently taking signature of my mother Mrs.
___________ Branch in the name of Mrs___________ and representing
himself as a nominee of Mrs ___________and withdrawing all money from
the savings account on demise of Mrs ___________.

Respected Sir,
I, the undersigned beg to state as under:
1. I i.e. ___________: aged 65 years, residing at Room no. B-1084/50,
___________
2. I say that I am legal heir of late Mrs. ___________alongwith Mrs.
___________ (Daughter-in-law) and ___________ (Grand
Daughter).
3. I say that Mrs. ___________was maintaining a Savings Bank Account
No. ___________ with ___________Branch, ___________, Mumbai
___________, and she has expired on 27.02.2013.
4. I say that we informed the bank about the demise of Mrs.
___________, the captioned Saving Bank account holder with your on
___________of February, 2013.
5. I say that since we are the only legal heir, we had asked the bank
about the details of the Saving Account and transactions and also
provided with all the necessary documents as required. We had
enclosed an affidavit confirming the fact that the above named three
are the only legal heirs of late Mrs. Rabiyabai Mohammed Patni. We
also enclosed xerox copies of PAN card, Aadhar card and Ration Card
of above legal heirs and requested to freeze the operation in the said
account and asked for the procedure and formalities required to be
completed for claiming the balance in deceased’s captioned account.
6. I say that I had filed RTI application with the Bank to know the details
of the Account and we were shocked to know that the a person named
Mr. Hussain Ahmed Shaikh has fraudulently nominated himself as a
nominee of Mrs. Rabiyabai Mohammad Patni. It is pertinent to note
that Mr Hussain Ahmed Shaikh who is staying in the same building at
1087/50, 2nd Floor, Himalaya CHS Ltd, Azad Nagar 3 Veera Desai
Road, Andheri (West), Mumbai 400058 was asked by Mrs. Rabiyabai
Mohammad Patni to nominate us as our nominee but he fraudulently
without knowledge of Late Mrs. Rabiyabai Mohammad Patni nominated
himself as nominee, thereby breaching the trust and faith which was
put on him by us and Late Mrs. Rabiyabai Mohammad Patni.
7. I further say that the fraud came to our knowledge when the bank vide
its reply dated 28.06.2018 informed us about the said nomination and
also informed us that they are bound to pay to the nominee and Mr
Hussain Ahmed Shaikh has been withdrawing all the hard earned
money which we had saved in the bank in name of Late Mrs. Rabiyabai
Mohammad Patni there by causing us wrongful loss and wrongful gain
to Mr. Hussain Ahmed Shaikh.
8. I say that since the Late Mrs. Rabiyabai Mohammad Patni was
illiterate, while opening the said bank account, Mr Hussain Ahmed
Shaikh who helped her to complete the account opening form took
undue advantage of her illiteracy and put his name as nominee and
after her demise encashed all the amount from the said bank account.
9. I say that when we confronted MR. HUSSAIN AHMED SHAIKH about
the account, he started threatening us with dire consequences and told
us to keep quiet and not say a word about the said account.
10. I say that when MR HUSSAIN AHMED SHAIKH came to know through
his source that we had gone to bank and enquired about the
nomination and that the bank had provided us details, MR HUSSAIN
AHMED SHAIKH came to our house on 16/07/18 along with 3 unknown
persons and started abusing me. When I told him not to abuse, he got
infuriated and he along with his accomplices abused Mrs.
___________ and pushed Miss ___________and they further
abused that “___________” I say that were saved due to intervention
of Mrs. Jubeda Jafar Ali Patni and Miss Gulnaz Jafar Patni while leaving
the house Mr. Hussain Ahmed Shaikh again threatened us with dire
consequences
11. I say that we are living in fear and also state that MR HUSSAIN
AHMED SHAIKH is capable of translating his threat in to action.

Under the above circumstances I state that please look into the matter
in person and register complaint/F.I.R against Mr. Hussain Ahmed Shaikh
for fraudulently taking signature of Late Mrs. Rabiyabai Mohammad Patni in
the nomination form of Saving Bank A/C No. 006110110008959 with Bank
of India Versova Branch and fraudulently nominating himself as a nominee
of Mrs. Rabiyabai Mohammad Patni and withdrawing all money from the
savings bank account on demise of Mrs. Rabiyabai Mohammad Patni and
later passing threats, harassment, abusement, assault, intimidation
and threats of life, cheating, and fraud.

Under the above circumstances I request you Sir please look into the
matter in person and lodge F.I.R. against the opponent and take stern legal
action against the opponent and oblige me.

Thanking you,
Yours faithfully

Mr. Jafar Ali Mohd Patni

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