Application for Compounding of Offence

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..... : Registration No (ii) : 4. Commissioner of Central Excise having jurisdiction over the applicant : 5. The violation of provisions of Central Excise Act, 1944, against which prosecution is instituted or contemplated for which application of C .....

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..... ty confirmed (a) : Amount of CENVAT credit (b) to be recovered/denied : Fine imposed (c) : Penalty imposed (d) : 12A Whether the amount of duty, penalty and interest have been paid a .....

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..... ture of the applicant. VERIFICATION I, ---------------the 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 .....

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