Form of appeal to the Administrator against the order of the Home Secretary, Chandigarh Administration under section 8(2) of the Delhi Fire Prevention and Fire Safety Act, 1986, as extended to the Union Territory, Chandigarh.

Appeal No. ______ of 19__. Shri ______ S/o Shri ______ Resident of ______ APPELLANT VERSUS NOMINATED AUTHORITY/CHIEF FIRE OFFICER. Appeal under section 8(2) of the Delhi Fire Prevention and Fire Safety Act, 1986 as extended to Union Territory, Chandigarh against the order of Shri ______ Home Secretary, Chandigarh Administration. Sir, The Appellant respectfully showeth as under:- 1. Statement of facts. 2. Ground of appeal. 3. Fee of Rs. 1,000 paid vide receipt No. ______ dated ______. 4. Appeal is within time. 5. No other appeal or any matter relating to the subject-matter of this appeal is pending in any court of law. 6. Relief claimed. Signature of Authorised Representative, if any. Signature of Appellant. VERIFICATION. I, ______, the appellant, do hereby declare that what is stated above is true to the best of my personal knowledge and belief and that I have not suppressed any material facts. Place ______. Date ______.