Department of Trade and Taxes
                                     Government of NCT of Delhi

                                            Form WC 02
                                [See notification under section 16(12)]
                                                (PART-A)
     Application Form for withdrawing from Composition by a 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 withdrawal from composition scheme is sought*                   -

  * hereinafter referred to as "current year"

5. Turnover in the preceding year                    (Rs.)


6. Reasons for withdrawal from
   composition scheme




7. Input tax on goods purchased          Description*                        Input tax (Rs.)
   and lying in stock in Delhi on
                                  (i) Trading Stock
   1st day from which withdrawing
   from composition scheme is (ii) Raw Material
   sought
                                  (iii) Packaging Material








                                                             Total

   (* Please complete Part B)
                                                  Name and signature of applicant / authorized signatory
8. 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 02
                                 [See notification under section 16(12)]

                                               (PART B)

Details of opening stock held on the 1st April of the year from which the composition is withdrawn


(i) Details of trading stock on which credit has been sought

  S.      Tax Invoice      Tax Invoice      Supplier TIN No. under     Purchase Price   Input Tax
  No.        date             No.                   the Act                (Rs.)          (Rs.)




                                                                  Carry to (7)(i)
                                           Total                    of part-A


(ii) Details of raw material on which credit has been sought

  S.      Tax Invoice      Tax Invoice     Supplier Registration No.   Purchase Price   Input Tax
  No.        date             No.               under the Act              (Rs.)          (Rs.)




                                                                 Carry to (7)(ii)
                                           Total                   of part-A


(iii) Details of packaging materials on which credit has been sought

  S.      Tax Invoice      Tax Invoice     Supplier Registration No.   Purchase Price   Input Tax
  No.        date             No.               under the Act              (Rs.)          (Rs.)




                                                                Carry to (7)(iii)
                                           Total                  of part-A
(iv) 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