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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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