FORM V (see rule 13) APPLICATION FOR FILING APPEAL AGAINST ORDER PASSED BY THE PRESCRIBED AUTHORITY, i.e. THE MEGHALAYA STATE POLLUTION CONTROL BOARD, SHILLONG. 1. Name and address of the person applying for appeal : 2. Number, date of order and address of the authority : which passed the order, against which appeal is being made (certified copy of order to be attached) 3. Ground on which the appeal is being made : 4. List of enclosures other than the order referred in : para 2 against which appeal is being filed Date: Signature........... Name & Address........ .................
