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

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..... lip;……………………………………… Respondent 1. Assessee Code* Premises Code** PAN or UID** Email Address Phone No. Fax No. 2. 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 far as it relates to the appellant. 7. Designation and address of the ad .....

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..... 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-Appeal. 21. Whether the respondent has also filed appeal against the order against which this appeal is made? 22. If answer to serial number 21 above is 'yes', f .....

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..... ft 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) number to be furnished where PAN i .....

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