Form of Appeal to Appellate Tribunal under sub-section (1) of section 86 of the Finance Act, 1994

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....The designation and address of the authority passing the order appealed against. 3. Number and date of the order appealed against                                                        Dated                     4. Date of Communication of a copy of the order appealed against. 5. State or Union territory and the Commissionerate in which the order or decision of assessment, penalty was made. 6. If the order appealed against relates to more than one Commissionerate, mention the names of all the Commissionerates, so ....

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....t matter of dispute in order of priority. (please choose two items from the list below) [ i) Taxability - Sl. No. of Negative List, ii) Classification of Services, iii) Applicability of Exemption Notification-Notification No., iv) Export of services., v) Import of services., vi) Point of Taxation., vii) CENVAT., viii) Refund., ix) Valuation., x) Others.]  Priority 1  Priority 2       18. Central Excise Assessee Code, if registered with Central Excise.   19. Give details of Importer Exporter Code (IEC), if registered with Director General of Foreign Trade.   20. If the appeal is against an Order-in-Appeal of Commissioner (Appeals), the number of Orders-in-Original covered by the said Order-in-Ap....

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....l be paid through a crossed bank draft drawn in favour of the Assistant Registrar of the Bench of the Tribunal on a branch of any nationalized bank located at the place where the Bench is situated. ----------- *15 digit Permanent Account Number (PAN) - based registration number to be mandatorily furnished by registered persons. **10 digit Commissionerate/ Division/ Range code (Premises Code) to be mandatorily furnished by registered persons. This 'premises code' is available in the ST-2 Registration Certificate itself. In case of Centralized registrations the 'premises code' of the Main Office for which Centralized registration has been taken, should be indicated. *** To be furnished by non-registered persons. Unique Identification (UID....

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.... of the authorised representative, if any Signature of the appellant or his authorised representative Note :- (1) The appeal including the statement of facts and the grounds of appeal shall be filed in quadruplicate and shall be accompanied by an equal number of copies of the order appealed against (one of which at least shall be a certified copy). (2) The form of appeal shall be in English (or Hindi) and should set forth, concisely and under distinct heads, the grounds of appeal without any argument or narrative and such grounds be numbered consecutively. (3) The fee of Rs. 200/- required to be paid under the provisions of the Act shall be paid through a crossed bank draft in favour of the Assistant Registrar of the Bench of the Tri....