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ANF-2E |
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Application for seeking personal hearing for Redressal of Grievance (Reference Para 2.60 of FTP) |
| Sl. No | Details | |
| 1 | Name of the Applicant and I EC number | |
| 2 | E-mail address of the applicant | |
| 3 | Mobile No, office land line no of the applicant | |
| 4 | Name of the person with designation who will appear for PH: | |
| 5 | Subject matter on which relaxation /intervention is required: | |
| 6 | Reason for seeking such relaxation/intervention with justification for Consideration of Request | |
| 7 | Date, File No & GST of decision against which PH is being sought: | |
| 8 | The date when this decision was reviewed by P R C/ competent Authority: | |
| 9 | Reason of rejection by P R C/Authority/officer | |
| 10 | Preferable date for PH (2nd Tuesday of every month is earmarked for PH | |
| 11 | How many pages of documents are enclosed? | |
| 12 | Amount of Fee |
Declaration/Undertaking:
| I/we hereby declare that the information submitted above is correct and true to the best of my knowledge. I/we shall abide by the order/decision of DG taken after affording personal hearing to me/us. | |||
| Place | Date | ||
| Name | Designation | ||
| Mobile | |||
| Office Address | |||
| Residential Address | |||