Cross-objections before the Appellate Tribunal

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..... d Address of the officer passing the order appealed against- 8. Date of communication of the order appealed against- 9. Name of the representative- 10. 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 dispute Central tax State/UT tax Integrated tax Cess .....

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..... involved: Head Tax Interest Penalty Refund Total Integrated Tax Central tax State/UT tax Cess 15 .....

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..... unt imposed as penalty TOTAL 17 Reliefs claimed in memorandum of cross-objections. 18 Grounds of Cross objection Verification I, _________the respondent, do hereby declare that what is stated above is true to the best of my information and belief. Verified today, the________ day of ____________20 ___________ Place: Date: Signature Name of the Applicant/ Officer: Designation/Status of Applicant/ officer: .....

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