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PROFORMA FOR APPLICATION FOR EMPANELMENT AS SPECIAL AUDITOR IN SERVICE TAX AUDIT-I COMMISSIONERATE

1. Name and address of the person /Firm. In case of firm, please also provide total number of partners and names of partners who will be engaged in this assignment.
2. PAN – Permanent Account Number
3. Membership Number of ICWAI/ICAI along with date of becoming member of the institute.
4. Date of Birth in case of individual and date of incorporation in case of firm.
5. Address for correspondence including Contact Number/Mobile No. and E-mail ID.
6. Educational Qualification of member, who would be engaged in this assignment.
7. Experience in handling Service Tax issues like advisory, audits, representational experience, etc., in the past 5 years. Please give write up.
8. Number of cases/articles with respect to Service Tax matter published in Journals/Newspapers etc.
9. Gross receipts from professional practice during 2014-15.

Verification

I , …………………………………………………… Proprietor/Partner of M/s. ……………………………………………………… do hereby declare that above mentioned information is true and correct to the best of my knowledge and belief.

Dated:                                                               Signature

Place:

ii. The Commissioner reserves the right to remove name of any of the Chartered Accountants/Cost Accountants from the panel so made, after makings enquires as deemed fit by him. His decision would be final.

The Last date of receipt of the application is 02/09/2015.

Yours faith fully

(S. K. SINHA)
COMMISSIONER