Appeal to the Goods and Services Tax Appellate Tribunal
GST APL – 05
GST
6[Form GST APL-05
See rule 110(1)
Appeal to the Goods and Services Tax Appellate Tribunal
1. GSTIN/Temporary ID/UIN –
2. Name of the appellant –
3. Address of the appellant –
4. Respondent(s):
(a)
(b)
(c)
…………..
(Specify designation and office of the respondent(s))
5. Details of the authorised representative of the applicant:
(a) Name…………………. Mobile ………………… Email ………………….
(b) Name…………………. Mobile ………………… Email ………………….
…………………………………………………………………………………………………..
6. Order appealed against – APL-04/Rejected APL-02
Number –
Date-
7. Is place of supply involved in the dispute – Yes/No
8. Designation and Office of the Appellate Authority/Revisional Authority passing the order appealed against –
9. Date of com
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mmary (As per Annexure C)
16. About Appellant (As per Annexure D)
17. Statement of facts (As per Annexure E)
18. Grounds of appeal
19. Prayer
20. Details of demand created, disputed and admitted.
Particulars
Central Tax
State/UT Tax
Integrated Tax
Amount deter mined by Appell ate / Revisional author ity, if any (A
Amount
admitted (B)
Amount under dispute (C) (A-B)
(Auto
–
populated from columns 3, 5,
7, 9, 10 &
11 of Table
9 of
APL-04,
where it is system or as peraltern ate flow of order
Amount deter mined by Appel late / Revisional authority, if any (A
Amount
admitted (B)
Amo
unt under dispute (C)
(A- B)
(Auto –
populated from columns 3, 5,
7, 9,
10 & 11 of
Table
9 of
APL- 04,
where it is system or as per alternate flow of order
Amount determined by Appellate / Revisional authority, if any (A
Amount
admitted (B)
Amount under dispute (C) (A-B) (Auto-populated
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, 10 & 11 of Table 9 of APL-04, where it is system or as per alternate flow of order
21. Details of payment of admitted amount and pre-deposit:
(a) Details of amount payable:
Particulars
Central Tax
State/UT Tax
Integrated
Cess
Total Amount
(a)
Admitted
Amount
(b) Pre-deposit
(10% of disputed tax)
(a)
Admitted
Amount
(b) Pre-deposit
(10% of disputed tax)
(a)
Admitted
Amount
(b) Pre-deposit
(10% of disputed tax)
(a)
Admitted
Amount
(b) &nb
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nbsp;
Integrated tax
Central tax
State/UT tax
CESS
1
2
3
4
5
6
7
8
9
1
Integrated tax
Cash Ledger
Credit Ledger
2
Central tax
Cash Ledger
Credit Ledger
3
State/UT tax
Cash Ledger
Credit Ledger
4
CESS
Cash Ledger
Credit Ledger
(c) Interest, penalty, late fee and any other amount payable and paid:
Sr.
No.
Description
Amount payable
Debit entry no.
Amount paid
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any Court or Authority or is pending before any Court or Authority.
Verified today, the _____________________________________ day of ______________month______________ 20…__________
< Signature >
Place:
Name of the Applicant
Date:
Designation/Status
Annexure A
(Order Type )
S No
List of 'Order Type'
1
Demand Order
2
Refund Order
3
Registration Order
4
Enforcement Order
5
Recovery Order
6
Other order
Annexure B
(Category of case under dispute or issues involved )
S No
List of 'Category of case under dispute
Tab
Tab
Amount involved
(where quantifiable)
1
Misclassification of any goods or services or both
Mention HSN
2
Wrong applicability of a notification issued under the provisions of this Act
Mention notification no.
and date
3
Incorrect determination of time of supply of goods or services or both
Mention
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Revisionary
order
9
Rejection/acceptance of application for registration
Mention section and rule specified in Appellate/
Revisionary order
10
Rejection/acceptance of application for amendment to registration
Mention section and rule specified in Appellate/ Revisionary order
11
Suspension of registration
Mention section and rule
specified in Appellate/
Revisionary order
12
Order dropping show-cause in relation to registration
Mention section and rule
specified in Appellate/
Revisionary order
13
Denial of facility to pay tax under composition scheme
Mention section and rule
specified in Appellate/
Revisionary order
14
Cancellation of registr
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ent
Mention section and rule
specified in Appellate/
Revisionary order
21
Determination of tax not paid or short paid on outward supply
u/s 73
Mention section and rule
specified in Appellate/
Revisionary order
22
Excess ITC availed/utilized u/s 73
Mention section and rule
specified in Appellate/
Revisionary order
23
Order for re-credit in credit ledger of claim for refund rejected
or of wrongly obtained refund being deposited
Mention section and rule
specified in Appellate/
Revisionary order
24
Order rejecting/granting provisional refund
Mention section and rule
specified in Appellate/
Revisionary order
25
Order denying/reducing/withholding/granting refund
Mention section and rule
specified in Appellate/
Revisionary order
26
Issue related to provisional assessment
Mention section and rule
specified in Appellate/
Revisionary order
27
Fraud or wilful suppression of fact leading to n
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34
Order imposing penalty
Mention section and rule
specified in Appellate/
Revisionary order
35
Order permitting compounding of any offense or withdrawing
such order
Mention section and rule
specified in Appellate/
Revisionary order
36
Anti profiteering related matter
37
Others-
38
Issues related to Place of supply of goods and/or services
Annexure C
Case Summary (indicate Amount in INR, wherever quantified and wherever applicable, Not exceeding 1000 characters in each cell)
Sr. No.
Issue related to
As per order of adjudicating authority
As determined by
Appellate/Revisional
authority
As per stand of appellant before Tribunal
As declared/ claimed by present Appellant
1
Registration
2
Revocation of registration
3
Denial/blocking of ITC
 
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bsp;
Annexure D
About Appellant
Constitution/
Identification
Number
Constitution of
Business
Statute under which incorporated
Date of
Commencement of business
Address
Nature of
Business
Any other relevant fact
Appellant to state in free text form as follows:
Appellant to mention:
(a). his constitution of business (e.g. Company, Partnership, HUF, Trust, etc.)
(b). Statute under which incorporated, if any (e.g. Companies Act, Trust Act, Societies Registration Act, etc.)
(c). date of its constitution
(d). constitution/identification number assigned to it by constituting authority (e.g. Corporate Identification Number in case of a company, etc.)
(e). Address of its Head Office and address of its principal place of business in State
(f). GSTIN/Temp Id and date from which registered under GST
(g). Nature of the business in which he/it is engaged (e.g. manufacturer /wholesaler /retailer / supplie
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.e.f. 01-11-2024 before it was read as,
“(b) Pre-deposit 1[(20% of disputed tax/cess but not exceeding Rs. 50 crore each in respect of CGST, SGST or cess or not exceeding Rs. 100 crore in respect of IGST and Rs. 50 crore in respect of cess)]”
5.
Substituted vide Notification No. 20/2024 – Central Tax dated 08-10-2024 w.e.f. 01-11-2024 before it was read as,
“(b) Details of payment of admitted amount and pre-deposit 2[(predeposit of 20% of the disputed tax and cess but not exceeding Rs. 50 crore each in respect of CGST, SGST or cess or not exceeding Rs. 100 crore in respect of IGST and Rs. 50 crore in respect of cess)]”
6.
Substituted vide Notification No. 13/2025-Central Tax dated 17-09-2025 w.e.f. 22-09-2025 before it was read as,
“Form GST APL-05
[See rule 110(1)]
Appeal to the Appellate Tribunal
1. GSTIN/Temporary ID/UIN –
2. Name of the appellant –
3. Address of the app
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;
(e) Other charges
(v) 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
Particulars
Central tax
State/UT tax
Integrated Tax
Cess
Total amount
Amount demanded/ rejected >, if any (A)
(a) Tax/Cess
(b) Interest
(c) Penalty
(d) Fees
(e) Other charges
Amount under dispute (B)
(a) Tax/Cess
(b) Interest
(c) Penalty
(d) Fees
(e) Other charges
Amount admitted (C)
(a) Tax/Cess
(b) Interest
(c) Penalty
(d) Fees
(e) Other charges
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grated tax
Cash Ledger
Credit Ledger
2.
Central tax
Cash Ledger
Credit Ledger
3.
State/UT tax
Cash Ledger
Credit Ledger
4.
CESS
Cash Ledger
Credit Ledger
(c) Interest, penalty, late fee and any other amount payable and paid :
Sr. No.
Description
Amount payable
Debit entry no.
Amount paid
Integrated tax
Central tax
State/UT tax
CESS
Integrated tax
Central tax
State/UT tax
CESS
1
2
3
4
5
6
7
8
9
10
11
1.
Interest
2.
Penalty
&nbs
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