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Export · Import · Customs · DGFT Intelligence
Procedure

APPENDIX 23

Document type
Procedure
Dated

PROFORMA FOR SUBMISSION OF GREVIENCE REPRESENTATION

NOTE: PLEASE SEE PARA 15.13 OF THIS HANDBOOK --------------------------------------------------------------------------------- FOR OFFICIAL USE File No. :-------------------------------- Date :-------------------------- ------------------------------------------------------------------------------ 1. Name of the Applicant :________________________________ 2. Address : _______________________________ Email Address : _______________ Telephone No : _______ Fax : _____ Status: ________________ Star Trading House / Trading House / Export House / Registered Exporter 3. Grievance pertains to : Details may be mentioned (use(Please tick) aditional sheets, if required) EPCG Scheme : ______________ Duty Exemption /Remission scheme : ______________ Diamond Gem & jewellery scheme : ______________ Export Licence : ______________ Import Licence : ______________ Any other matter : ______________ 4. Particulars of file / correspondence : ______________ Ref No. / date of DGFT or its regional office, if any : 5. Whether the Grievance Committee : ______________ of the concerned regional licensing office has been approached and, if so, furnish particulars / decision, if any, taken by such a Committee. 6. Any other remarks / point that : ______________ you may wish to state : Signature : Name in Block Letters : Designation : Telephone :

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