Form of Application to the Appellate Tribunal under Section 129D(4) of the Customs Act, 1962

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..... PAN or UID** Port/ Location Code 2* Port/ Location Code 3* Email Address Phone No. Fax No. .....

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..... - - 6. Designation and address of the officer passing the decision or order in respect of which this appeal or application is being made. 7. State or Union territory and the Commissionerate in which the decision or order was made. 8. Date of receipt of the order referred to in (5) above by the Commissioner of Customs or by the jurisdictional Chief Commissioner of Customs, as the case may be. 9. Date on which order under sub - section (1) of section 129D of the Act, has been passed by the Committee of Chief Commissioners. 10. Date of receipt of the order referr .....

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..... EXPORT (i) Classification-Srl. Nos. of Export Schedule, (ii) Valuation, (iii) Drawback, (iv) Export under any Export Promotion Scheme (other than drawback), (v) Non-Tariff restrictions, (vi) Others GENERAL (i) Custom House Agents Licensing Regulations, 2004, (ii) MOT Charges, (iii) Others Priority 1 Priority 2 Priority 1 Priority 2 Priority 1 Priority 2 17. If the appeal is against an Order-in-Appeal of Commissioner (Appeals), the number of Orders-in-Original covered by the said Order-in-Ap .....

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..... respondent, assigned by the Directorate General of Foreign Trade, to be mandatorily furnished *** To be furnished if the respondent does not have IEC. Unique Identification (UID) number to be furnished where Permanent Account Number (PAN) is not available. Notes: 1) Substituted vide Notification No. 37/2013, dated 10-4-2013 OLD Form FORM NO. C.A.-5 [See Rule 7 of the Customs (Appeals) Rules, 1982] Form of Application to the Appellate Tribunal under Section 129D(4) of the Customs Act, 1962 In the Customs, Excise and Gold (Control) Appellate Tribunal Appeal No..............................................of.......................... . .....

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