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-
3. Permanent address of the appellant, if applicable-
4. Address for communication-
5. Order appealed against Number Date –
6. Name and Address of the Appellate Tribunal passing the order appealed against-
7. Date of communication of the order appealed against-
8. Name of the representative
9. Details of the case under dispute:
(i) Brief issue of the case under dispute with synopsis
(ii) Description and classification of goods/services in dispute
(iii) Period of dispute
(iv) Amount under dispute
| Description | Central tax | State/ UT tax | Integrated tax | Cess |
| a) Tax/ Cess | ||||
| b) Interest | ||||
| c) Penalty | ||||
| d) Fees | ||||
| e) Other charges |
(v) Market value of seized goods
10. Statement of facts
11. Grounds of appeal
12. Prayer
13. 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:
<Signature>
Name:
Designation/ Status