NOTE: PLEASE SEE
PARA 15.13 OF THIS HANDBOOK
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FOR OFFICIAL USE
File No. :-------------------------------- Date :--------------------------
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1. Name of the Applicant :________________________________
2. Address : _______________________________
Email Address : _______________
Telephone No : _______
Fax : _____
Status: ________________ Star Trading House / Trading House /
Export House / Registered Exporter
3. Grievance pertains to : Details may be mentioned (use(Please tick)
aditional sheets, if required)
EPCG Scheme : ______________
Duty Exemption /Remission scheme : ______________
Diamond Gem & jewellery scheme : ______________
Export Licence : ______________
Import Licence : ______________
Any other matter : ______________
4. Particulars of file / correspondence : ______________
Ref No. / date of DGFT or its regional
office, if any :
5. Whether the Grievance Committee : ______________
of the concerned regional licensing
office has been approached and, if
so, furnish particulars / decision,
if any, taken by such a Committee.
6. Any other remarks / point that : ______________
you may wish to state :
Signature :
Name in Block Letters :
Designation :
Telephone :