THE PUNJAB GOODS AND SERVICES TAX FORMS 2017
OFFENCES AND PENALTIES

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