FORM GST CPD-01
[See rule 162(1)]
Application for Compounding of Offence

1. GSTIN / Temporary ID  
2. Name of the applicant  
3. Address  
4. The violation of provisions of the Act for which prosecution is instituted or contemplated  
5. Details of adjudication order/notice  
  Reference Number  
  Date  
  Tax  
  Interest  
  Penalty  
  Fine, if any  
6. Brief facts of the case and particulars of the offence (s) charged:  
7. Whether this is the first offence under the Act  
8. If answer to 7 is in the negative, the details of previous cases  
9. Whether any proceedings for the same or any other offence are contemplated under any other law.  
10. If answer to 9 is in the affirmative, the details thereof  

DECLARATION

(1) I shall pay the compounding amount, as may be fixed by the Commissioner.
(2) I understand that I cannot claim, as a matter of right, that the offence committed by me under the Act shall be compounded.

Signature of the applicant
Name