Form of Appeal to the [Commissioner (Appeals)] under Section 128

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..... stoms Act, 1962 (1) No..........................of..........19...... (2) Name and address of the appellant. (3) Designation and address of the officer passing the decision or order appealed against and the date of the decision or order. (4) Date of communication of the decision or order appealed against to the appellant. (5) Address to which notic .....

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..... 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............19....... Place............................ Date............................. Signature of authorised .....

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