Form - 1: Application For Remedy

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FORM 1

Application for remedy


[See Rule 5(1)]
Director General,
Department of Environment,
Government of the Peoples Republic of Bangladesh,
E-16, Agargaon, Dhaka-1207.
From:
................................................................
................................................................
Sir,
I am a person affected, or in apprehension of being affected, by environmental pollution or
environmental degradation and hence applying for remedy under sub-section-(1) of section-8 of the
Bangladesh Environment Conservation Act, 1995, in respect of the following environmental
damage/apprehended environmental damage:1. Name of the person/persons affected or in apprehension of being affected by environmental
pollution or environmental degradation
..................................................................................................

2. Reasons, how affected.

3. Site, where affected.

4. Description of damage/apprehended damage.

5. Time, when affected.

6. Name, address, etc., of person/persons/organization involved in causing the damage.

7. Remedy applied for.


Date ..................................

Signature ..................................

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