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Name and address of the Appellant TIN (if any) Order against which Appeal is preferred Case Number Period Date of Order Name of Authority who passed the Order Under Section Date of Communication of Order to appellant (1) . The appellant above named is filing this appeal under section 46 of the Madhya Pradesh Vat Act, 2002, being aggrieved of the order mentioned above on following grounds :(Note: Tick ( ) the appropriate particulars (row), where relief is sought). Particulars Gross.

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