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DGFT Hand Book of Procedures Forms & Appendix (wef 27/08/2009) APPENDIX 29

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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