Customs Rules
Customs (Compounding of Offences) Rules, 2005

Body

Form No. 124

(see rule 3)

(Application for compounding offence)

1.	Full Name and address of the applicant	:
2.	Address for communication	:
3.	(i) Permanent Account Number (PAN)	:
	(ii) Import Export Code (IEC) No
4.	Principal Commissioner or Commissioner having jurisdiction over the applicant	:
5.	The violation of provisions of Customs Act, 1962, against which prosecution is instituted or contemplated for which application of Compounding	:
6.	Details of Bill(s) of Entry/Shipping Bill(s)/Adjudication order in relation to the case for compounding	:
7.	Date of seizure, if any	:
8.	Brief facts of the case and particulars of the offence(s) charged	:
9.	Whether Show Cause Notice issued	:
10.	If yes, details of duty/export incentives demanded	:
11.	whether Show Cause Notice has been adjudicated	:
12.	If yes, adjudication details	:
(a)	Amount of duty confirmed	:
(b)	Export incentive to be recovered/ denied	:
(c)	Fine imposed	:
(d)	Penalty imposed	:
12A	Whether the amount of duty, penalty and interest have been paid and if yes, the details thereof	:
13	Whether this is the first offence under the Customs Act, 1962. If not details of previous cases	:
14.	Whether any proceedings for the same offence contemplated under any other law, if so the details thereof	:

Name and Signature of the applicant.

DECLARATION

1. I shall pay the compounding amount, as may be fixed by the compounding authority under sub-rule (3) of Rule 4 of the Customs (Compounding of Offences) Rules, 2005.

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

Name and Signature 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 suppressed. 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 ............... (month), .............. (year) at .......... .

Name and Signature of the applicant.

Place :

Date :