FORM - Form of Appeal to Appellate Tribunal - Prevention of Money-Laundering (Appeal) Rules, 2005

FORM [See sub-rule (1) of rule 3] From................................................................................................... (Mention name and address of the appellant here) To The Registrar, Appellate Tribunal (Address) Sir, The above-named appellant, begs to prefer this appeal under section 26 of the Prevention of Money-laundering Act, 2002 against order Number........................ dated ...........................passed by the Director or the Adjudicating Authority (strike out whichever is inapplicable) under the said Act on the following facts and grounds. FACTS [Mention briefly the facts of the case here. Enclose copy of the order passed by the Director or Adjudicating Authority (strike out whichever is inapplicable) and copies of other relevant documents, if any.] GROUNDS (Mention here the grounds on which appeal is preferred). PRAYER In the light of what is stated above, the appellant prays for the following relief:- RELIEF SOUGHT (Specify the relief sought) DECLARATION The fee payable for this appeal as shown in Table given in sub-rule (2) of rule 3 of these rules has been deposited in the form of demand draft with the Registrar, Appellate Tribunal, New Delhi vide receipt number............. ........... dated........................ (Signature of the Appellant) (Name of the Appellant) List of documents: Place : Date: (Signature of the Appellant)