List of Forms Sr. No Form No. Content 1. GST APL-01 Appeal to Appellate Authority 2. GST APL-02 Acknowledgement of submission of appeal 3. GST APL-03

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GOODS AND SERVICES TAX RULES, 2017 APPEAL AND REVISION FORMATS 1

List of Forms Sr. No Form No. Content 1. GST APL-01 Appeal to Appellate Authority 2. GST APL-02 Acknowledgement of submission of appeal 3. GST APL-03 Application to the Appellate Authority under sub-section (2) of Section 107 4. GST APL-04 Summary of the demand after issue of order by the Appellate Authority, Tribunal or Court 5. GST APL-05 Appeal to the Appellate Tribunal 6. GST APL-06 Cross-objections before the Appellate Authority / Appellate Tribunal 7. GST APL-07 Application to the Appellate Tribunal under sub section (3) of Section 112 8. GST APL -08 Appeal to the High Court under section 117 2

Form GST APL - 01 [See Rule ------] Appeal to Appellate Authority 1. GSTIN/ Temporary ID/UIN 2. Legal name of the appellant - 3. Trade name, if any 4. Address - 5. Order no. - Order date - 6. Designation and address of the officer passing the order appealed against - 7. Date of communication of the order appealed against - 8. Name of the authorized representative - 9. 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) under dispute: Description a) Tax/ c) Penalty e) Other charges Central State/ UT (v) Market value of seized goods 10. Whether the appellant wishes to be heard in person Yes / No 11. Statement of facts:- 12. Grounds of appeal:- 13. Prayer:- 14. of demand created, admitted and disputed Particulars of demand/ refund Particulars Central State/ UT Total amount a) Tax/ of demand c) Penalty created (A) e) Other charges of demand admitted a) Tax/ c) Penalty 3

(B) e) Other charges a) Tax/ of demand c) Penalty disputed (C) e) Other charges 15. Details of payment of admitted amount and pre-deposit:- (a) Details of payment required Particulars a) Admitted amount b) Pre-deposit (10% of disputed ) Tax/ Interest Penalty Fees Other charges Tax/ Centra l State/ UT Integr ated Total amount (b) Details of payment of admitted amount and pre-deposit (pre-deposit 10% of the disputed and cess) Sr. No. Description Tax payable Paid through Cash/ Credit Ledger 4 Debit entry no. Central of paid State/UT 1 2 3 4 5 6 7 8 9 1. 2. Central 3. State/UT 4. CESS Cash Ledger Credit Ledger Cash Ledger Credit Ledger Cash Ledger Credit Ledger Cash Ledger Credit Ledger (c) Interest, penalty, late fee and any other amount payable and paid Sr. Description payable Debit paid No. Central State/UT CESS entry no. Central State/UT CESS 1 2 3 4 5 6 7 8 9 10 11 CESS

1. Interest 2. Penalty 3. Late fee 4. Others (specify) TaxGuru.in - Complete Tax Solution 16. Whether appeal is being filed after the prescribed period - Yes / No 17. If Yes in item 17 (a) Period of delay (b) Reasons for delay - 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 of the Applicant: 5

Form GST APL 02 [See Rule < ] Acknowledgment for submission of appeal <Name of applicant<gstin/temp ID/UIN/Reference Number with date Your appeal has been successfully filed against < Application Reference Number 1. Reference Number- 2. Date of filing- 3. Time of filing- 4. Place of filing- 5. Name of the person filing the appeal- 6. of pre-deposit- 7. Date of acceptance/rejection of appeal- 8. Date of appearance- Date: Time: 9. Court Number/ Bench Court: Bench: Place: Date: < Signature Name: Designation: On behalf of Appellate Authority/Appellate Tribunal/ Commissioner / Additional or Joint Commissioner 6

Form GST APL - 03 [See Rule < ] Application to the Appellate Authority under sub-section (2) of Section 107 1. Name and designation of the appellant Name- 2. GSTIN/ Temporary ID /UIN- 3. Order no. Date- Designation- Jurisdiction- State/Center- Name of the State- 4. Designation and address of the officer 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) under dispute- Description Central State/ UT a) Tax/ c) Penalty e) Other charges 7. Statement of facts- 8. Grounds of appeal- 9. Prayer- 10. of demand in dispute, if any - TaxGuru.in - Complete Tax Solution Particulars of demand/refun d, if any of demand created, if any (A) Particulars Central State/UT Total amount a) Tax/ c) Penalty e) Other charges < total 7

a) Tax/ under dispute (B) c) Penalty e) Other charges < total Date: < Signature Name of the Applicant Officer: Designation: Jurisdiction: 8

Form GST APL 04 [Refer Rule < ] Summary of the demand after issue of order by the Appellate Authority, Tribunal or Court Order no. - Date of order - 1. GSTIN/ Temporary ID/UIN - 2. Name of the appellant- 3. Address of the appellant- 4. Order appealed against- Number- Date- 5. Appeal no. Date- 6. Personal Hearing 7. Order in brief- 8. Status of order- Confirmed/Modified/Rejected 9. of demand confirmed: Particulars Central State/UT Total Disputed Determin ed Dispu ted Amou nt Determin ed Disputed Deter mined Amou nt Disput ed Amoun t Determin ed Disputed Determine d 1 2 3 4 5 6 7 8 9 10 11 a) Tax c) Penalty e) Others f) Refund Place: Date: < Signature < Name of the Appellate Authority Designation: Jurisdiction: 9

Form GST APL 05 [See Rule ------] Appeal to the Appellate Tribunal 1. GSTIN/ Temporary ID /UIN - 2. Name of the appellant - 3. Address of the appellant 4. Order appealed against- Number- Date- 5. Name and Address of the Authority passing the order appealed against - 6. Date of communication of the order appealed against - 7. Name of the representative - 8. 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 (vi) under dispute: Description Central State/ UT a) Tax/ c) Penalty e) Other charges (vii) Market value of seized goods 9. Whether the appellant wishes to be heard in person? 10. Statement of facts 11. Grounds of appeal 12. Prayer 13. Details of demand created, disputed and admitted Particulars of demand demanded/ rejected, if any (A) Particulars Central 10 State/UT Total amount a) Tax/ < total c) Penalty

under dispute (B) admitted (C) TaxGuru.in - Complete Tax Solution e) Other charges a) Tax/ c) Penalty e) Other charges a) Tax/ c) Penalty e) Other charges 14. Details of payment of admitted amount and pre-deposit: (a) Details of amount payable : < total < total Particulars a) Admitted amount b) Pre-deposit (20% of disputed ) Tax/ Interest Penalty Fees Other charges Tax/ Central State/UT Total amount (b) Details of payment of admitted amount and pre-deposit (pre-deposit 20% of the disputed admitted and cess) Sr. No. Description Tax payable Paid through Cash/ Credit Ledger Debit entry no. of paid Central State/UT CESS 11

1 2 3 4 5 6 7 8 9 1. 2. Central 3. State/UT 4. CESS TaxGuru.in - Complete Tax Solution Cash Ledger Credit Ledger Cash Ledger Credit Ledger Cash Ledger Credit Ledger Cash Ledger Credit Ledger (c) Interest, penalty, late fee and any other amount payable and paid: Sr. No. Description payable Debit paid entry no. Central State/UT Central State/UT CESS CESS 1 2 3 4 5 6 7 8 9 10 11 1. Interest 2. Penalty 3. Late fee 4. Others (specify) 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 of the Applicant: Designation /Status: 12

Form GST APL 06 [See Rule < ] Cross-objections before the Appellate Authority / Appellate Tribunal Sr. No. Particulars 1 Appeal No. - Date of filing - 2 GSTIN/ Temporary ID/UIN- 3 Name of the appellant- 4 Permanent address of the appellant- 5 Address for communication- 6 Order no. Date- 7. Designation and Address of the officer passing the order appealed against- 8. Date of communication of the order appealed against- 9. Name of the representative- 10. Details of the case under dispute- (i) (ii) (iii) Brief issue of the case under dispute- Description and classification of goods/ services in dispute- Period of dispute- (iv) under dispute Central State/UT a) Tax c) Penalty e) Other charges (specify) (v) 11 12 13 Market value of seized goods- State or Union Territory and the Commissionerate (Centre) in which the order or decision was passed (Jurisdiction details)- Date of receipt of notice of appeal or application filed with the Appellate Tribunal by the appellant or the Commissioner of State/Central /UT, as the case may be- Whether the decision or order appealed against involves any question relating to place of supply - Yes No 13

14 In case of cross-objections filed by a person other than the Commissioner of State/UT /Central (i) Name of the Adjudicating Authority- (ii) Order Number and date of Order- (iii) GSTIN/UIN/Temporary ID- (iv) involved: Head Tax Interest Penalty Refund Total Central State/UT 15 Details of payment Head Tax Interest Penalty Refund Total Central State/UT Total TaxGuru.in - Complete Tax Solution 16 In case of cross-objections filed by the Commissioner State/UT /Central : (i) (ii) (iii) (iv) of demand dropped or reduced for the period of dispute of interest demand dropped or reduced for the period of dispute of refund sanctioned or allowed for the period of dispute Whether no or lesser amount imposed as penalty TOTAL 17 Reliefs claimed in memorandum of cross -objections. 18 Grounds of Cross objection 14

Verification I, the respondent, do hereby declare that what is stated above is true to the best of my information and belief. Verified today, the day of 20 Place: Date: <Signature Name of the Applicant/ Officer: Designation/Status of Applicant/ officer: 15

Form GST APL 07 [See Rule ------] Application to the Appellate Tribunal under sub section (3) of Section 112 1. Name and Designation of the appellant Name: 2. GSTIN/ Temporary ID /UIN- 3. Appellate Order no. Date- Designation Jurisdiction State/Center- Name of the State: 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) under dispute: Description Central State/ UT a) Tax/ c) Penalty e) Other charges TaxGuru.in - Complete Tax Solution 7. Statement of facts- 8. Grounds of appeal- 9. Prayer- 10. demanded, disputed and admitted: Particulars of demand, if any of demand created, if any (A) Particulars Central 16 State/ UT Integr ated a) Tax/ c) Penalty e) Other Total amount

charges a) Tax/ under dispute (B) c) Penalty e) Other charges Place: Date: < Signature Name of the Officer: Designation: Jurisdiction:- 17

Form GST APL 08 [See Rule-----] 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) under dispute Description Central State/ UT a) Tax/ c) Penalty 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 18

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: TaxGuru.in - Complete Tax Solution <Signature Name: Designation/Status: 19