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

:

................................