Form GST APL – 02

[See rule 108(3)]

Acknowledgment for submission of appeal

<Name of applicant><GSTIN/Temp ID/UIN/Reference Number with date >

Your appeal has been successfully filed against < Application Reference Number >

1. Reference Number-
2. Date of filing-
3. Time of filing-
4. Place of filing-
5. Name of the person filing the appeal-
6. Amount of pre-deposit-
7. Date of acceptance/rejection of appeal–
8. Date of appearance- Date:

Time:

• Court Number/ Bench                                Court: Bench:

Place:

Date:

Name: Designation:

On behalf of Appellate Authority/Appellate Tribunal/ Commissioner / Additional or Joint

Commissioner

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