Form of Appeal to Appellate Tribunal under sub-section (1) of section 35B of the Act

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..... 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 - - - - - .....

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..... Value of Seized goods 14. (i) Amount of duty 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 furnished) Duty Fine Penalty Interest .....

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..... 21 above is yes , furnish the details of the appeal. 23. Whether the appellant wishes to be heard in person? 24. Reliefs claimed in appeal. Statement of facts Grounds of appeal Signature of the authorized representative, if any Signature of the appellant Verification I . the appellant, do hereby declare that what is stated above is true to the best of my information and belief. Verified today, the day of .20 .. Signature of the authorized representative, if any Signature of the appellant Notes.- (1) The grounds of appeal and the form of verification shall be .....

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