FORM GST APL-04
[See rules 109B, 113 (1) and 115]
SUMMARY OF THE DEMAND AFTER ISSUE OF ORDER BY THE
APPELLATE AUTHORITY, REVISIONAL AUTHORITY, TRIBUNAL OR
COURT
Reference no. – Date –
1. GSTIN/ Temporary
ID/UIN –
2. Name of the appellant / person –
3. Address of the appellant / person
4. Order appealed against or intended to be revised – Number- Date-
5. Appeal no. Date-
6. Personal Hearing – 7. Order in brief-
8. Status of order- Confirmed /Modified /Rejected
9. Amount of demand after appeal / revision:
1 Substituted vide Notf no. 74/2018-CT dt 31.12.2018
10. Place of supply wise details of IGST demand
Place:
Date:
Signature:
Name of the Appellate Authority / Revisional
Authority/ Tribunal / Jurisdictional Officer
Designation:
Jurisdiction: