FORM ST – 6
Form of memorandum of cross objections to the Appellant Tribunal 
under section 86 of Finance Act, 1994 (32 of 1994)
In the Customs, Excise and Gold (Control) Appellate Tribunal Cross objection 
No. ________________ of __________20___
In appeal No. ___________________ of 
____________20______________________________ Appellant / Applicant
v.
____________________________ Respondent.
	
		| 1. | State / Union territory and the 
		Commissionerate in which the order / decision of assessment / penalty / 
		interest was made. | 
	
		| 2. | Date of receipt of notice of appeal or application filed 
		with the Appellate Tribunal by the appellant or, as the case may be, the 
		Commissioner of Central Excise. | 
	
		| 3. | Address to which notices may be sent to the respondent. | 
	
		| 4. | Address to which notices may be sent to the appellant / 
		applicant. | 
	
		| 5. | Whether the decision or the order appealed against 
		involves any question having a relation to the rate of tax or to the 
		value of taxable service for purposes of assessment; if not, difference 
		in tax or tax involved, or amount of interest or penalty involved or 
		value of taxable service involved, as the case may be. | 
	
		| 5A. | (i) | Period of dispute | 
	
		|  | (ii) | Amount of tax, if any, claimed for the period mentioned in item (i) | 
	
		|  | (iii) | Amount of refund, if any, claimed for the period mentioned in item (i) | 
	
		|  | (iv) | Amount of interest imposed. | 
	
		|  | (v) | Amount of penalty imposed. | 
	
		| 6. | Relief claimed in the memorandum of cross objections. | 
Grounds of cross objections
(1)
(2)
(3)
(4)
	
		| Signature of the authorised representative, if any
 | Signature of the respondent or his authorised representative
 | 
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 of the authorised representative, if any
 | Signature of the respondent or his authorised representative
 | 
Notes :-
	
		| 
			The form of memorandum of cross-objections shall be filed in 
			quadruplicate.The form of memorandum of cross-objections should be in English 
			( or Hindi) and should set forth, concisely and under distinct heads 
			the ground of the cross-objections without any argument or narrative 
			and such grounds should be numbered consecutively.The number and year of appeal / application as allotted by the 
			Appellate Tribunal and appearing in the notice of appeal / 
			application received by the respondent is to be filled in by the 
			respondent. |