Form No.SC (C) – 2

[under sub-rule (1A) of rule 3 of the Customs (Settlement of Cases) Rules, 2007]

Before the Customs and Central Excise Settlement Commission

 Bench at

Form of application for settlement of a case of person under sub-section (5) of section

127B of the Act
1. Full name of the Person  
2.

(i) Postal address of the person

(ii) E-mail address of the Person, if any

 

  
3.

(i) Address for communication

(ii) Telephone No.

 

  
4.

(i) Permanent Account No.

(ii) IEC No. (if any)

(iii) Status (see note 2)

 

  
5.

(i) Commissioner of Customs having jurisdiction

    over the person

(ii) Postal address of the Commissioner of Customs

having jurisdiction over the person

 

  
6.

Details of Show Cause Notice issued to the

(a) Show Cause Notice No. and date

(b) Period of dispute in the notice

(c) Duty demanded in the notice (in Rs.)

(d) Name of the noticee in the Show Cause Notice from when            the     duty is   demanded

(e) Whether the case of noticee from whom the

     duty is demanded, has been settled by the

    Commission or application is pending for

    settlement before the Commission. If yes,

    please provide the status and details of that

    application.

(f) Dispute in connection with which the

    application for settlement is made.

(g) Adjudicating authority before whom

(h)

(i) the notice of any person is pending adjudication.

 

  
7.

Brief facts of the case and particulars of the issues to be settled

 

  

Signature of the Person

 

Verification

 

I ……………. son/daughter 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 and that I have not filed any application for settlement of the provisions of the Chapter XIVA of the Customs Act, 1962 before the Settlement Commission and also that no information relevant to the facts of the case has beensuppressed. 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.

That no proceeding in respect of the case for which settlement is being sought, is pending before Commissioner (Appeals), Customs, Excise and Service Tax Appellate Tribunal or the courts, as the case may be, or has been remanded back to the adjudicating authority by the said appellate authorities/courts.

Verified today the ………… day of ………… (mention the month and year) ……. (mention the place)

Deponent

 

Note:

1. The application fee should be credited in a branch of the authorized 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 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.

 

 

Annexure

Statement containing particulars, referred to in item 7 of the application made under sub-section (5) of section 127B of the Customs Act, 1962.

1. Full and true disclosure of the facts regarding the issues to be settled including the terms of settlement sought for by the applicant.

Signature of the Person

Place :

Date :