FORM GST CPD-01

[See rule 162(1)]

Application for Compounding of Offence

1.GSTIN / Temporary ID
2.Name of the applicant
3.Address
4.The violation of provisions of the Act for which
prosecution is instituted or contemplated
5.Details of adjudication order/notice
Reference Number
Date
Tax
Interest
Penalty
Fine, if any
6.Brief facts of the case and particulars of the offence (s) charged:
7.Whether this is the first offence under the Act
8.If answer to 7 is in the negative, the details of previous cases
9.Whether any proceedings for the same or any other offence are contemplated under any other law.
10.If answer to 9 is in the affirmative, the details thereof

DECLARATION

(1) I shall pay the compounding amount, as may be fixed by the Commissioner.

(2) I understand that I cannot claim, as a matter of right, that the offence committed by me under the Act shall be compounded.

Signature of the applicant

Name

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