Memorandum of Cross-Objections to the Appellate Tribunal under sub-section (4) of section 86 of Finance Act, 1994

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....llip;………………………………………………………………………… Respondent 1. Assessee Code* Premises Code** PAN or UID*** Email Address Phone No. Fax No. 2. State or Union territory and the Commissionerate in which the order or decision of assessment, penalty was made. 3. Date of receipt of notice of appeal or application filed with the Appellate Tribunal by the appellant or, as the case may be, the Commissioner of Central Excise/ Service Tax/ Large Taxpayer Unit. 4. Number and date of the order appealed against. - - - - - - Dated - - 5. Address to....

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.... application for staying the operation of the order appealed against has been made? 12. Subject 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 13. Excise Assessee Code, if registered with Central Excise. 14. Give details of Importer Exporter Code, if registered with Director General of Foreign Trade. 15. Reliefs claimed in memorandum of cross -objections. Grounds of cross objections (1) (2) (3) (4) Sig....