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Form of Appeal to Appellate Tribunal under sub-section (1) of section 86 of the Finance Act, 1994

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..... Email 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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..... r interest deposited. If so, mention the amount deposited under each head in the box below. (A copy of the challan under which the deposit is made should be furnished) Service Tax Penalty Interest (ii) If not, whether any application for dispensing with such deposit has been made? 15. Does the order appealed against also involve any central excise duty demand, and related fine or penalty, so far as the appellant is concerned? 16. Does the order appealed against also involve any customs duty demand, and related penalty, so far as the appellant is concerned? 17. Subject matter of dis .....

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..... ve 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 signed by the appellant in accordance with rule 3 of the Central Excise (Appeals) Rules, 2001. (2) The appeal including the statement of facts and the grounds of appeal shall be filed in quadruplicate accompanied by an equal number of copies of the order (one of which at least shall be a certified copy) appealed against. (3) The appeal shall be in English (or Hindi) and should set forth, concisely and under distinct heads, .....

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