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Application to the Appellate Tribunal under sub section (3) of Section 112

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....bsp;                          Date - 6. Complete Designation, along with jurisdiction of the Appellate Authority/Revisional Authority passing the order appealed against - 7. Date of communication of the order appealed against - 8. Details of the case under dispute: a. Brief issue of the case under dispute b. Period of dispute - c. Case Summary (As per Annexure A) d. Market value of seized goods, where one of the issues involved is seizure/confiscation of goods 9. About Respondent (As per Annexure B) 10. Is place of supply involved in the dispute- Yes/No 11. Statement of facts (As per Annexure C) 12....

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....p;       (c) Penalty                   (d) Fees                   (e)  Other charges                     Cess Total Amount Amount of demand as per the order of the adjudicating authority (A) (Auto-populated from APL-01/DRC- 07, where it is in the system OR to be manually filled in by appellant) Amount of demand determined by Appellate/ Revisional authority, if any (Auto-populated from columns, where it is in the system or to be manually filled in by appellant) Amount as per present appellant (c) Amount of demand a....

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....p;     4 Short or non-payment of tax         4 Erroneous refund         5 Levy of Penalty         6 Levy of interest or late fee or fine         7 Classification dispute (mention HSN in corresponding columns of this row)         8 Any other         Annexure B About Respondent Constitution of Business Address Nature of Business Any other relevant fact           GSTN/Temp ID Constitution of Business Any other constitution business Address Nature of business Any other relevant fact             Annexur....

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....p; 8 Whether any particular thing done by the applicant results in supply of goods or services or both Mention section and rule and Schedule specified in Appellate/ Revisionary order   9 Rejection/acceptance of application for registration Mention section and rule specified in Appellate/ Revisionary order   10 Rejection/acceptance of application for amendment to registration Mention section and rule specified in Appellate/ Revisionary order   11 Suspension of registration Mention section and rule specified in Appellate/ Revisionary order   12 Order dropping show-cause in relation to registration Mention section and rule specified in Appellate/ Revisionary order   13 Denial of facility to pay ta....

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.... claim for refund rejected or of wrongly obtained refund being deposited Mention section and rule specified in Appellate/ Revisionary order   24 Order rejecting/granting provisional refund Mention section and rule specified in Appellate/ Revisionary order   25 Order denying/reducing/withholding/granting refund Mention section and rule specified in Appellate/ Revisionary order   26 Issue related to provisional assessment Mention section and rule specified in Appellate/ Revisionary order   27 Fraud or wilful suppression of fact leading to nonpayment/short payment of tax determined u/s 74 Mention section and rule specified in Appellate/ Revisionary order   28 Excess ITC availed/utilized determi....

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....unal under sub section (3) of Section 112 1. Name and Designation of the appellant                         Name: Designation Jurisdiction State / Center - Name of the State: 2. GSTIN/ Temporary ID /UIN- 3. Appellate Order no.                         Date- 4. Designation and Address of the Appellate Authority passing the order appealed against- 5. Date of communication of the order appealed against- 6. Details of the case under dispute: (i) Brief issue of the case under dispute- (ii) Description and ....