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- Full Name (Required)
- Company Name / Dealer ID / Customer ID (Required)
- Phone Number (Required)
- Email Address (Optional but preferred)
- Business Category (Dropdown):
- Tea / Consumer
- Dealer / Distributor
- Freight Forwarding
- Shipping Company
- Logistics
- Ship Crew
2. Case Details
- Blacklist Reference ID (Required)
(e.g., D-209, FF-118, SC-041)
- Date of Incident (if known)
- Reason for Appeal (Textarea)
(Explain why you believe this blacklist entry is incorrect or resolved)
- Current Status (Dropdown):
- Still Active
- Issue Resolved
- Wrongly Listed
3. Supporting Documents
- Upload Proof (File Upload)
(Invoices, Payment Receipts, Call Records, Email screenshots, Delivery Confirmation, etc.)
- Additional Notes (Textarea)
4. Declarations & Consent
- Checkbox (Required):
“I hereby declare that the above information is true to the best of my knowledge. I authorize JAR Group Compliance Team to review and verify the provided documents.”
5. Submit Section
- Submit Button (Label: “Submit Appeal”)
- Confirmation message after submission: “✅ Thank you. Your appeal has been submitted successfully. Our Compliance Team will review it within 7–14 business days. You will be contacted via phone/email for updates.”