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Procedure

APPENDIX 29

Document type
Procedure
Dated

PROFORMA FOR SUBMISSION OF GRIEVANCE REPRESENTATION

APPENDIX 29

PROFORMA FOR SUBMISSION OF GRIEVANCE REPRESENTATION


1. Name of the Applicant:........................................................................................
2. Address::........................................................................................
3. Grievance subject:Details may be mentioned (use additional sheets, if required)
4. Particulars of file/ correspondence Ref No./date of DGFT or its regional office, if any:........................................................................................
5. Whether the head of the concerned regional licensing office has been approached
if so, furnish particulars/ decision, if any, taken .
Yes [ ] No. [ ]
:........................................................................................
6. Any other remarks:........................................................................................
Signature of the Applicant: ......................................................
Name in Block Letters: ......................................................
Designation: ......................................................
Place:.....................................                     Tel. No.: ......................................................
Date: .....................................           E-mail Address: ......................................................


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