Form 1

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..... ................. ............................................ Sir/Madam, I hereby make a declaration under sub section (1) of section 214 of the Finance Act, 2016 (28 of 2016). 1 Name of the declarant (in block letters) 2 Registration Number 3 Address (as mentioned in order in original against which appeal has been filed before Commissioner (Appeals) 4 Telephone number 5 Order in or .....

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..... t I am making this declaration in my capacity as ................... [(designation) (please specify if you are making a declaration on behalf of declarant)] and that I am competent to make this declaration and verify it. Place Signature of person making declaration Date Name of person making declaration Instructions for filling the Form 1. This Form should be submitted to the Commissioner of .....

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