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

    (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:

Name:                    
Designation/Status: