ANNEXURE "A"

To

The Assistant/Deputy Commissioner
Service Tax.

SUB: APPLICATION FOR PERMISSION TO FILE ST3 RETURNS ELECTRONICALLY

1) Name of Assessee:

2) Category of service(s):

3) Service Tax Registration No./STP Code :

4) Email Address:

(Please give a trusted e-mail address to which the Userword and Password for access to the E-filing of the Return can be sent)

5) I/We request that I/We may be permitted to file my ST3 Return electronically. I/We declare that I/We     satisfy the conditions of Trade Notice No 6/2003.Dated01-04-2003 and shall observe the instructions     given therein.

I/We undertake to indicate my/our 15 digit STP code in every challan used by me/us for remitting Service Tax in Banks.

If any difficulty is faced in filing the return electronically and get the acknowledgement from the computer within one month from the due date, I/we shall file manual returns as was done hitherto.

Date:                                                                                         Name and signature of the assessee

Place:                                                                                        Designation with Seal.

                                                   
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