GRIEVANCEadmin2018-05-05T08:03:13+00:00 GRIEVANCE LODGEMENT FORM Name: Please do not use my name when talking about this Concern in public. Company: (if applicable) Date: Time: Preferred Contact Method: Telephone Email MailEmail Address *: Please provide contact details: Supporting Documents Attached? NoYes Please provide details of your grievance Reference: Neighbour - Pastoralist Neighbour – Port Neighbour – Other Indigenous Other Consultant Government – State Government – Local Contractor Consultant NGO Government –Bangladesh Comment : What outcome are you seeking? Additional Information Claimant Signature : Date: Bengal Hotels & Resorts Ltd. Signature : Date: Note: If you have any question, please feel free to direct contact at +880 1966-614041.