NATIONAL FEDERATION OF STATE COOPERATIVE BANKS (NAFSCOB)

NAVI MUMBAI – 400 703

 

FORM – D

See Rule – 7(1)

 

FORM OF MEMORANDUM OF APPEAL TO

THE FIRST APPELLATE AUTHORITY

UNDER SECTION 19(1) OF THE ACT

 

From

 

(Applicant’s Name & address)

 

 

Before

The Appellate Officer

NAFSCOB

                             

1	Full name of the Appellant
2	Address
3	Particulars of Central Public Information Officer
4	Date of receipt of the order appealed against
5	Last date for filing the appeal
6	Particulars of information
	a) Nature and subject matter of the information required
	b) Name of the office or Department to which the information relates
7	The grounds for appeal (Details if any to be enclosed in separate sheet)

 

Verification

 

I,  …………………………………………………… Name of the appellant, son / daughter of / wife of ……………………………………hereby declare that the particulars furnished in the appeal are to the best of my knowledge and belief, true and correct and that I have not suppressed any material fact.

 

Place:

 

Date:

 

Signature of the Appellant

 

To

 

(Name and address of Appellate Officer)