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Form of application for settlement of a case under section 32E

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..... istration No : (iii) Status : (See note 2) 5. (i) Principal Commissioner or Commissioner of Central Excise having jurisdiction over the applicant : (ii) Postal address of the Principal Commissioner or Commissioner of Central Excise having jurisdiction over the applicant : 6. Details of Show Cause Notice issued to the applicant (a) Show Cause Notice No and date (b) Period of dispute in the notice (c) Duty demanded in the notice (in Rs.) (d) Dispute in connection with which the application for settlement is made. (e) Adjudicating authority before whom the notice is pending adjudication. 7. .....

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..... ion may be provided : (a) Application No. and date (b) Show cause notice No. and date (c) Amount of admitted duty (d) Issue involved (e) Status of the application, if decided, then (i) Settlement order No. and date (ii) Details of deposit of settlement amount 14. If any other application, filed by the applicant, on or after 1st June, 2007, is pending before the Settlement Commission, then whether the present application for settlement involves issue identical to the issue in respect of which the other application is pending before the Settlement Commission as on date. Signature of the applicant Verification I....... .....

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..... ndividual, Hindu undivided family, company, firm, an association of persons, etc. 3. Details of the additional amount of Central Excise duty accepted as payable and interest thereon referred to in item 10 of the application shall be furnished in annexure to this application. 4. Original copy of the TR-6 challan indicating amount of duty accepted as payable for settlement and interest thereon referred to in item 10 be retained by the applicant, duplicate be endorsed to Central Excise Officer having jurisdiction over the applicant, triplicate be endorsed to the jurisdictional Chief Accounts Officer of the Central Excise Commissionerate, quadruplicate be retained by the bank and quintuplicate copy be enclosed with this application form. .....

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