FORM 31B

FORM OF APPEAL MEMORANDUM TO THE DEPUTY COMMISSIONER

(See Rule 34B & 37C)

1. Name and address of the appellant

2. Authority passing the order in disputed

3. Date of communication of the order appealed against

4. Address to which notice may sent to the appellant

5. Relief claimed

6. Authority representative if any

7. Grounds of appeal

VERIFICATION

I/we .............the applicant (s) do hereby declare that what is stated above is true to the best of my/our knowledge and belief.

Verified today the .............................day of ................................19 .......................... Appellant

Note:- The appeal shall be accompanied by the original or a certificate copy of the order appealed against.