Form of Application to the Commissioner (Appeals) under sub-section (4) of section 35E of the Act

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..... ................................................................................Applicant. Vs. .....................................................................................................Respondent. 1. Designation and address of the applicant (If the applicant is not the adjudicating authority, a copy of the authorisation from the Commissioner of .....

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..... (ii) Period of dispute (iii) Amount of duty, if any, demanded for the period mentioned in column (ii) (iv) Amount of refund, if any, claimed for the period mentioned in column (ii) (v) Amount .....

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