Form of appeal to Appellate Tribunal under section 30 of the Act

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........................Appellant Vs ..................................................................................................Respondent 1 (i) Registration No. ....................... (ii) Jurisdictional Range/ Division / Commissionerate / Zone (iii) E-mail Address (iv) Phone No. 2. The designation and address of the authority passing the order appealed against. 3. Number and date of ....

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....p;                             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, fine was made.  6. If the order appealed against rel....

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.... disallowed for the period of dispute (iv) Amount of fine imposed.  (v) Amount of penalty imposed.  (vi) Market value of seized goods.  14. (i) Amount of cess or fine or penalty or interest deposited. If so, inform the amount deposited under each head in the box below. (A copy of the challan under which the deposit is made shall be uploaded)  Cess Fine Penalty Interest ....