Air (Prevention and Control of Pollution) Rules, 1983 - Form VII

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FORM VII
(Form of appeal)
[See sub-rule (1) of rule 17]

*(Here mention the name & designation of the authority)
Before* ...........................................
Appellate Authority constituted under section 31 of the Air (Prevention & Control of Pollution) Act, 1981(14 of 1981).
Memorandum of appeal of Shri ......................................

(Appellant)
Vs.

The Central Pollution Control Board …………….. (Respondent) The appeal of Shri ………………… Resident of ............................... District ........................................ against the order .............. dated ......................................passed by the Central Pollution Control Board under section 21/22 of the Air (Prevention and Control of Pollution) Act, 1981 as showeth follows:

(1) Under Section 21/22 of the Air (Prevention & Control of Pollution) Act 1981 (14 of 1981) the appellant has been granted consent subject to the conditions mentioned in the consent order in respect of the .......... company/corporation/municipality/notified area committee etc., noted below:

(a) Name of the plant/company/corporation/municipality/notified area committee:
(b) Place:
(c) Card No.
(d) Name of the street; and
(e) District
A copy of the consea order in question is attached here to.

(2) The facts of the case are as under:
(here briefly mention the facts of the case)

(3) The grounds on which the appellant relies the purpose of this appeal are as below:-
(here mention the grounds on which appeal is made)
1.
2.
3.

(4) In the light of what is stated above, the appellant respectfully prayeth that

(a) the unreasonable condition(s) ……………………........ imposed should be treated as annulled or it/they should be constituted for such other conditions is it appears to be reasonable

or

(b) the unreasonable condition(s) ………………………. should be varied in the following manner (Here mention the manner in which the condition(s) objected). An amount of Rs ……………as fee for this appeal has been paid vide receipt No ……………........ dated …………… an authorised copy of which is attached in proof of payment.

Signature of the Applicant
Name ……………………………
(in Block letters)
Occupation ............................………
Address ……………………………
……………………………………

Date: ……..……………… Verification

I ………………...................(appellant's name) in the above Memorandum of appeal/or/duly authorised agent do/does hereby declare that what it stated therein is true to the best of my knowledge and belief and nothing has been hidden thereunder.

Signature .............................
Name ..................................
(in Block letters)
Occupation ............................………
Address ……………………………
………………………………………

Dated :

* Strike out what is not applicable.

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