ANNEXURE-40

Form No. E.A.-8

[See Rule 9]

Form of revision application to the Central Government under section 35EE of the Act

Revision application No…………………of………………….2001……………….

1. Name and address of the applicant:

2. Address of the Commissioner (Appeals) passing the order against which the revisionapplication is filed:

3. The number and date of the order:

4. Date of communication of the order:

5. Designation and address of the adjudicating authority against which the order has beenpassed by the Commissioner (Appeals):

6. Address to which notices/communications may be sent to the applicant:

7. Whether the appellant wishes to be heard in person.

8.

(i) Description of classification of goods

(ii) Period of dispute

(iii) Amount of duty, if any, demanded for the period mentioned in item (ii)

(iv) Amount of refund , if any, claimed for the period mentioned in item (ii)

(v) Amount of fine imposed

(vi) Amount of penalty imposed

(vii) Market value of seized goods.

9. Whether duty or penalty, if any, has been deposited (a copy/extract of thechallan/account-current, as the case may be, under which the deposit is made, shall befurnished):

10. Relief claimed in application:

Signature of the authorised representative, if any.

Statement of facts Grounds of application Verification

Signature of the applicant.

I,…………………………..the applicant, do hereby declare that what is stated above is trueto the best of my information and belief.

Verified today, the……………….day of…………………………….2001……..

Signature of the authorised representative, if any.

Signature of the applicant.

Notes:-

(1) The grounds of application and the form of verification shall be signed by the personspecified in sub-rule (2) of Rule 3.

(2) Where the application is signed by the authorised representative of the applicant, thedocument authorising the representative to sign and appear on behalf of theapplicant shall be appended to the application.

(3) The application, including the statement of facts and the grounds of application shallbe filed in duplicate and shall be accompanied by an equal number of copies of theorder against which the application is filed and also the decision/order of theadjudicating authority against which Commissioner (Appeals) passed the order.

(4) The form of application shall be in English (or Hindi) and should set forth concisely andunder distinct head grounds of application without any argument or narration andsuch grounds should be numbered consecutively.

(5) The fee of Rs. 200.00 required to be paid under the provisions of the Act shall be paidunder T.R. 6 challan and the duplicate copy of the T.R. 6 challan shall be filed alongwith the application for revision.

(Back to Ch.16)

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