Application to the Appellate Authority under sub-section (2) of Section 107

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..... - 3. Order no. Date- 4. Designation and address of the officer passing the order appealed against- 5. Date of communication of the order appealed against- 6. Details of the case under dispute- (i) Brief issue of the case under dispute- (ii) Description and classification of goods/ services in dispute- (iii) Period of dispute- (iv) Amount under disp .....

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..... Particulars of demand/refund, if any Particulars Central tax State/UT tax Integrated tax Cess Total amount Amount of demand created, if any (A) a) Tax/ Cess total tot .....

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