FORMAT 
[See rule 3(1)] 
Proforma for forwarding the  proposal for publishing of names and other details 
1. Name and address of the  assessee or person: 
2. Service Tax Code (STC) No. or  Registration No. (if any): 
3. Constitution of assessee: 
(Proprietorship or  Partnership or Private Ltd or Public Ltd or Registered Trust or Society or  Other (specify)) 
4. Commissionerate: 
5. Division: 
6. Details of show cause or  demand notice: 
7. Amount involved in the show  cause notice: 
8. Reasons for provisional  attachment of property. 
9. Address and other details of  property; 
10. Value of property proposed to  be attached: 
11. Details of previous offences,  if any: 
12. Comments, if any: 
  
 
Date:                                                                                                                  Signatures of Assistant or Deputy Commissioner of Central Excise or Service Tax 
(With name and  official seal)  |