I1 a Name & address of the defaulter / unit

~--- - --! --

b Whether unit is proprietorship firm / Pvt. Ltd., orPllhlir I trl

c Name of the Director / Prop./ Partner

.•..

d Issue in brief.N ,

\.......----". --- -

--.::

2 a Order-in-Original No. & Date I~ -,-- -

- 1 -

- Amt. of duty confirmed, R.F & P.P. -I--~'"- -

c Description of Goods. r -.. -- -

3 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.

4 a CESTAT Order & Date

b In case of appear is pending, whether Stay hasbeen granted & conditions fulfilled

In case of appeal is pending, whether stay hasc 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 beenIflllfill"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 beenf, lifi lI"ri

7 Total Amt. of dues and Interest as on date

PROFORMAZONE - LUCKNOW

COMMISSIONERATE - LUCKNOWDIVISION - ALIGARH

8 Present Status of the case

Details of efforts made to recover the Amt. &9 a result thereof (Incl. action u/s 142 of Customs Act,

1962

b Amt. Recovered.

10 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

9Any assets whether movable or immovable of thedefaulter is available or has been verified.

h Whether any bank guarantee pending, if so detail.

Can the department recover the amount? If yes11 how, if not why. Please give the brief including

restraint.

12 Any other relevant details

Arrears tndudinq-duty + penalty