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PROFORMA ZONE - LUCKNOW COMMISSIONERATE - LUCKNOW

DIVISION - ALIGARH
1 a Name & address of the defaulter / unit b Whether unit is proprietorship Pllhlir I trl

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firm / Pvt. Ltd., or

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c Name of the Director / Prop./ Partner

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d Issue in brief. N
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a Order-in-Original

No. & Date

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Amt. of duty confirmed, R.F & P.P.

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c Description of Goods.
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a Order-in-Appeal No. & Date


b Amt. confirmed, R.F & P.P.

Whether conditional stay has been granted & c whether the conditions of stay has been fulfilled.
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a CESTAT Order & Date


b In case of appear is pending, whether Stay has

been granted & conditions fulfilled In case of appeal is pending, whether stay has c been granted & conditions fulfilled 5 a High Court Order No. & Date
b Stay order if any

c Gist of the Order d Whether the Conditions of the stay have been

Iflllfill"ri
6 a Supreme Court Order No & Date
b Stay order if any

c Gist of the Order d Whether the Conditions of the stay have been
f, lifi lI"ri

Total Amt. of dues and Interest as on date

Present Status of the case Details of efforts made to recover the Amt. &

a result thereof (Incl. action u/s 142 of Customs Act,


1962
b Amt. Recovered.

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a Whether unit is working


b If closed since when

c Whether it was owned or rented


d Whether closed factory has attached assets

e Whether any Prop.f Part./ Director available


f

Whether such person contracted for recovery Any assets whether movable or immovable of the defaulter is available or has been verified.

h Whether any bank guarantee pending, if so detail.

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Can the department recover the amount? If yes how, if not why. Please give the brief including restraint. Any other relevant details Arrears tndudinq-duty

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+ penalty

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