FORM GST APL – 07
[See rule 111(1)]
Application to the Appellate Tribunal under sub section (3) of Section 112
1. Name and Designation of the appellant
Name:
Designation
Jurisdiction State/Center-
Name of the State:
2. GSTIN/ Temporary ID /UIN-
3. Appellate Order no. Date-
4. Designation and Address of the Appellate Authority passing the order appealed against
5. Date of communication of the order appealed against
6. 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:
7. Statement of facts
8. Grounds of appeal
9. Prayer-
10. Amount demanded, disputed and admitted:
Place:
Date: <Signature
Name of the Officer:
Designation:
Jurisdiction:-