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Form WC 01 - Application Form for opting Composition by an eligible works contractor in respect of scheme as notified by Government under sub-section (12) of section 16
October, 26th 2012
                                    Department of Trade and Taxes
                                     Government of NCT of Delhi

                                            Form WC 01
                                [See notification under section 16(12)]

                                                (PART-A)

     Application Form for opting Composition by an eligible works contractor in respect of
            scheme as notified by Government under sub-section (12) of section 16

                                                                                 Ward No.





1. TIN


2. Full Name of Applicant Dealer




3. Full Address of Dealer




4. Year with effect from which composition scheme is sought*                                -

  * hereinafter referred to as "current year"

5. Applicable rate of composition amount**                           2.5%                          3%
                                                               of the turnover              of the turnover
  ** please tick in the appropriate box

6. Turnover in the preceding year                 (Rs.)


7. Estimated Turnover in the current year         (Rs.)


8. Tax Payable on                               Description*                     Tax Payable (Rs.)
(i) Opening Stock held on the       (i) Trading Stock
     first day with effect from
     which scheme is being opted    (lii) Raw material
(ii) Capital Goods (in respect of   (iii) Packaging Material
     which ITC has been claimed     (iv) Finished Goods
     in preceding three years,
     which is to be reversed)       (v) Capital Goods
                                                               Total

  (* Please complete Part B)
9. Details of Tax paid calculated              Description
   as per (8) above
                                    (i) Amount of tax paid* (Rs.)
                                    (iii) Date of Deposit                    /          /
                                                                        dd       mm           yyyy
                                    (iii) Challan No. if any

  (* Please attach original challan / proof of deposit)


                                                  Name and signature of applicant / authorized signatory

9. Verification
I/We __________________________________________ hereby solemnly affirm and declare that the
information given hereinabove is true and correct to the best of my/our knowledge and belief and
nothing has been concealed therefrom.

Signature of Authorised Signatory                   ____________________________________

Full Name (first name, middle, surname)             ____________________________________

Designation                                         ____________________________________



Place


Date
              Day      Month            Year
                                        Department of Trade and Taxes
                                         Government of NCT of Delhi


                                                Form WC 01
                                     [See notification under section 16(12)]

                                                  (PART-B)

          Details of the Stock held on the first day [i.e. on _____________(date)] of the period for
                                   which the composition is sought




(i) Details of Trading Stock
          Rate wise details of the           Purchase Value      Fair Market Value*   Tax Payable (Rs.)
              Trading Stock                       (Rs.)                (Rs.)
  A     Goods taxable at 1%
  B     Goods taxable at 4%
  C     Goods taxable at 12.5%
  D     Goods taxable at 20%
                                                                  Carry to field
  E     Total                                                    (7)(i) of part A

      (* As at opening day of the period for which is being opted)

(ii) Details of Raw Material
       Rate wise details of the Raw          Purchase Value      Fair Market Value*   Tax Payable (Rs.)
                Material                          (Rs.)                (Rs.)
  A     Goods taxable at 1%
  B     Goods taxable at 4%
  C     Goods taxable at 12.5%
  D     Goods taxable at 20%
                                                                 Carry to field
  E     Total                                                   (7)(ii) of part A
      (* As at opening day of the period for which is being opted)

(iii) Details of Packaging Material
          Rate wise details of the           Purchase Value      Fair Market Value*   Tax Payable (Rs.)
           Packaging Material                     (Rs.)                (Rs.)
  A     Goods taxable at 1%
  B     Goods taxable at 4%
  C     Goods taxable at 12.5%
  D     Goods taxable at 20%
                                                               Carry to field
  E     Total                                                 (7)(iii) of part A

      (* As at opening day of the period for which is being opted)
(iv) Details of Finished Goods
          Rate wise details of the        Purchase Value      Fair Market Value*    Tax Payable (Rs.)
             Finished Goods                    (Rs.)                (Rs.)
  A      Goods taxable at 1%
  B      Goods taxable at 4%
  C      Goods taxable at 12.5%
  D      Goods taxable at 20%
                                                             Carry to field
  E      Total                                              (7)(iv) of part A
      (* As at opening day of the period for which is being opted)

(v) Details of Capital Goods
          Rate wise details of the        Purchase Value      Fair Market Value*     Tax Payable in
              Capital goods                    (Rs.)                (Rs.)            consequence of
                                                                                     reversal of ITC
  A      Goods taxable at 1%
  B      Goods taxable at 4%
  C      Goods taxable at 12.5%
  D      Goods taxable at 20%                                Carry to field
  E      Total                                              (7)(v) of part A

      (* As at opening day of the period for which is being opted)

                                                  Name and signature of applicant / authorized signatory
 vi. Verification
 I/We __________________________________________ hereby solemnly affirm and declare that the
 information given hereinabove is true and correct to the best of my/our knowledge and belief and
 nothing has been concealed therefrom.

 Signature of Authorised Signatory                    __________________________________

 Full Name (first name, middle, surname)              __________________________________

 Designation                                          __________________________________



 Place


 Date
                 Day     Month           Year
 
 
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