DECLARATION

I/We declare the information provided in the application form is true and correct and I / W e shall be responsible for any incorrect/wrong information.

Signed ..................................

Name ....................................

Title .......................................

Place: ......................

Date: .......................

FORM V

[See rule 23(1)]

FORM OF MEMORANDUM OF APPEAL

Before the .......................................Ministry of Environment and Forests, New Delhi

Or

National Biodiversity Authority

(As the case may be)

(Memorandum of Appeal under section 50 of the Biological Diversity Act, 2002)

Appeal No .............................of 200

................

.................

Appellant(s)

versus

................

.................

:Respondent(s)

(Here mention the designation of the Authority/ Board, as the case may be)

The appellant begs to prefer this Memorandum of Appeal against the order dated ..................passed by the respondent on the following facts and grounds: