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<h1>Application Submitted for Mediation Under Companies Act Section; Fee Paid and Details Provided by Applicant</h1> An individual, identified only by their relationship status and resident address, submits an application to the designated officer of the Central Government, Tribunal, or Appellate Tribunal. This application requests that a matter under a specific section of the Companies Act be referred to the Mediation and Conciliation Panel. The applicant confirms that the necessary fee has been paid and provides payment details. The form includes space for the applicant's signature, date, and location, and allows for non-applicable relationship status to be struck off.