ANNEXURE - Proforma for forwarding the proposal for publishing of names and other details - Service Tax (Publication of Names) Rules, 2008

ANNEXURE Proforma for forwarding the proposal for publishing of names and other details 1. Name and address of the assessee/person: 2. STC No./Registration No.(if any): 3. Constitution of assessee: (Proprietorship/partnership/Private Ltd /Public Ltd/Registered Trust/ Society/Other (specify)) 4. Commissionerate: 5. Division: 6. Details of offence committed: 7. Amount involved (service tax/interest/penalty/ amount u/s 73A are to be shown separately): 8. Adjudication details: 9. Whether appeal period has expired with any appeal having been filed/ appeal filed has been disposed of: (in case of the latter, particulars of the order-in- appeal) 10. Reasons for proposing publication of name and other particulars. 11. Name, address and other details proposed for publication; 12. Involvement of person/assessee whose name and other details are to be published: 13. Details of previous offences, if any: 14. Comments, if any: Date: Signatures of Commissioner of Central Excise/Service Tax (With name and official seal) Comments and Recommendations by the Chief Commissioner Date: Signatures of Chief Commissioner of Central Excise/Service Tax (With name and official seal)