ANNEXURE - B
Form SC (E) - 1.
(See Rule 3 of the Customs (Settlement of Cases) Rules, 1999)
Before the Customs and Central Excise Settlement Commission.
Bench at.
(Form of application for settlement of a case under Section 32E of the Central Excise Act, 1944)
S.A.(E) No. /99.
1. Full Name and address of the applicant:
2. Address for communication:
3. (i) Permanent Account No.:
(ii) ITC Code no.:
(iii)Status: (see note 2)
4. Commissioner of Customs having jurisdiction over the applicant:
5. Period/date of the cause/dispute in connection with which the application for settlement is made:-
6. Details of Bill(s) of Entry/Shipping Bill(s) filed in relation to the case for Settlement:
7. Proceedings to which application for Settlement relates, the date from which the proceedings are pending and authority before whom the proceedings are pending:
8. Where any appeal or application for revision has been preferred after the expiry of the period specified for filing such appeal or application for revision, as the case may be, whether such appeal or revision has been admitted.:
9. Date of Seizure if any:
10.Brief facts of the case and particulars of the issues to be settled.:
11.Total amount of duty involved in the dispute:
12.Additional amount of duty disclosed and accepted as payable: (See Note 3)
Signature of the applicant
Verification
I...............................................son/daughter/wife of ..............................................
residing at............................................................................................................... do solemnly declare that I am making this application in my capacity as ................................................. and I am competent to verify it.
That the contents of this application are true to the best of my knowledge and belief and no information relevant to the facts of the case has been suppressed. Annexures of the documents accompanying the application are true copies of the originals and the tables showing financial transactions are correct and are duly attested by me.
Verified today, the ............day, of .....................2001, at .........................
Deponent.
Note:
1. The application fee should be credited in a branch of the authorised bank or a branch of the State Bank of India or a branch of Reserve Bank of India and the triplicate copy of the challan sent to the Settlement Commission with the application. The Settlement Commission will not accept cheques, drafts, hundies or other negotiable instruments.
2. Please state whether individual, Hindu undivided family, company, firm, an association of persons, etc.
3. The additional amount of Central Excise duty accepted as payable referred to in item 12 shall be given in Annexure to this application.
ANNEXURE
Statement containing particulars referred to in item 10 of the application made under section 127B(1) of the Customs Act, 1962.
1. Details of information which has not been correctly declared in the Bill of Entry/Shipping Bill.
2. Additional amount of duty payable on the goods covered in the Bill of Entry/Shipping Bill and the manner in which such duty has been derived.
3. Duty liability accepted out of the total duty demanded in the show cause notice, if any, issued and the manner in which such duty liability has been derived.
4. Full and true disclosure of the facts regarding the issues to be settled, including the terms of settlement sought for by the applicant.
Place: Signature of the applicant.
Date:
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