Form GST APL – 08

[See rule 114(1)]

Appeal to the High Court under section 117

1. Appeal filed by———————– Taxable person / Government of <–>
2. GSTIN/ Temporary ID/UIN-

Name of the appellant/ officer-

Designation                            / Jurisdiction—

• Permanent address of the appellant, if applicable-
• Address for communication-
• Order appealed against                Number                Date-

• Name and Address of the Appellate Tribunal passing the order appealed against-
• Date of communication of the order appealed against-
• Name of the representative
• Details of the case under dispute:
  • Brief issue of the case under dispute with synopsis
  • Description and classification of goods/ services in dispute
  • Period of dispute
  • Amount under dispute

• Market value of seized goods

1. Statement of facts
2. Grounds of appeal
3. Prayer
4. Annexure(s) related to grounds of appeal

Verification

I, <                                                     >, hereby solemnly affirm and declare that the

information given hereinabove is true and correct to the best of my knowledge and belief and nothing                                   has                                                been                                  concealed therefrom.

Place: Date:

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