APPENDIX 29
- Document type
- Procedure
- Reference no.
- A
- Dated
PROFORMA FOR SUBMISSION OF GRIEVANCE REPRESENTATION
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 |
:...................................................... |