FORM ST-3
(Return under Section 70 of the Finance Act, 1994)
FINANCIAL YEAR____________
For the period: (Please tick appropriate box) 
[April-September] 
[October-March]
	- Name of the assessee
	
	
	
	 
	- Registration Numbers of premises for which return is being filed
	
	
	 
	- Category of taxable services for which return is being filed:
	
	(Mention all the taxable services provided/received
	
	
		- _______________________________ 
		 
		- ________________________________
		 
		- ________________________________
		 
	
	 
	- Payment of Service Tax
	
	Category of Service: __________________________________________________
	
	
		- Payment details
			
				|   | 
				Apr/Oct | 
				May/Nov | 
				June/Dec | 
				July/Feb | 
				Sep/Mar | 
				Total of column (2) to (7) | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
				(7) | 
			
			
				| Amount received towards taxable service(s) provided | 
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				| Amount received in advance towards taxable service(s) to be 
				provided | 
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				| Amount Billed- gross | 
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				| Amount billed for exempted services other than export | 
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				| Amount billed for exported services, without payment of tax | 
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				| Amount billed for services on which tax is to be paid | 
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				| Abatement claimed- Value | 
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				| Notification number of Abatement | 
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				| Notification number of exemption | 
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				| Provisional Assessment order no. | 
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				| Service tax payable | 
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				| Education cess payable | 
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				| Service tax paid in cash | 
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				| Challan Number | 
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				| Challan date | 
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				| Service tax paid through cenvat credit | 
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				| Education cess paid in cash | 
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				| Education cess paid through education cess credit | 
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		(To be repeated for every category of service provided 
		/received, and for every registered premises separately)
		
		 
		- Details of other payments
		
		
			
				|   | 
				Amount-Cash | 
				Challan Number | 
				Date | 
				Amount-Credit | 
				Source Document No. | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
			
			
				| Arrear of service tax | 
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				| Education cess | 
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				| Interest | 
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				Not applicable | 
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				| Penalty | 
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				Not applicable | 
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				| Miscellaneous | 
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				Not applicable | 
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				| Excess amount paid and adjusted subsequently** | 
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				| Total | 
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		** Under rule 6(4A) of Service Tax Rules, 1994
		
		(To be repeated for every category of service provided /received, and 
		for every registered premises separately)
		
		 
	
	 
	- Credit details for Service Tax provider/recipient
	
	
		- Cenvat credit details
		
		
			
				| Details of credit | 
				Apl/Oct | 
				May/Nov | 
				June/Dec | 
				July/Jan | 
				Aug/Feb | 
				Sept/Mar | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
				(7) | 
			
			
				| Opening Balance | 
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				| Credit availed on inputs | 
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				| Credit availed on capital goods | 
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				| Credit availed on input services | 
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				| Credit received from inputs service distributor | 
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				| Total credit availed | 
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				| Credit utilized towards payment of service tax | 
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				| Closing balance | 
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		- Education cess credit details
		
		
			
				| Details of credit | 
				Apl/Oct | 
				May/Nov | 
				June/Dec | 
				July/Jan | 
				Aug/Feb | 
				Sept/Mar | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
				(7) | 
			
			
				| Opening Balance | 
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				| Credit of education cess availed on goods | 
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				| Credit of education cess availed on services | 
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				| Credit of education cess utilized for payment of service tax | 
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				| Closing balance | 
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	- Credit details for Input service distributor
	
	
		- Details of Cenvat credit received and distributed
		
		
			
				| Details of credit | 
				Apl/Oct | 
				May/Nov | 
				June/Dec | 
				July/Jan | 
				Aug/Feb | 
				Sept/Mar | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
				(7) | 
			
			
				| Opening Balance | 
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				| Credit of service tax received | 
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				| Credit of service tax distributed | 
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				| Credit of service tax not eligible to be distributed* | 
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				| Closing balance | 
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		- Details of Education cess received and distributed
		
		
			
				| Details of credit | 
				Apl/Oct | 
				May/Nov | 
				June/Dec | 
				July/Jan | 
				Aug/Feb | 
				Sept/Mar | 
			
			
				| (1) | 
				(2) | 
				(3) | 
				(4) | 
				(5) | 
				(6) | 
				(7) | 
			
			
				| Opening Balance | 
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				| Credit of education cess recievrd | 
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				| Credit of education cess distributed | 
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				| Credit of education cess not eligible to be distributed* | 
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				| Closing balance | 
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		*as per rule 7(b) of CENVAT Credit Rules, 2004
		 
		- The taxable services on which input service credit has been 
		distributed during the half year period
		____________
		
		____________
		
		____________
		
		____________
		 
	
	 
	- Details of amount payable but not paid as on the last day of the 
	period for which the
	
	Return is filed _______________________________________________
	 
	- Self Assessment memorandum
	
	
		- I/We declare that the above particulars are in accordance 
		with the records and books maintained by me/us and are correctly stated.
		 
		- I/We have assessed and paid the service tax and/or availed 
		and distributed CENVAT credit correctly as per the provisions of the 
		Finance Act, 1994 and the rules made thereunder.
		 
		- I/We have paid duty within the specified time limit and in 
		case of delay, I/We have deposited the interest leviable thereon.
 
	
	 
Place:                                                   
(Name and Signature of Assessee or Authorized Signatory)
Date: 
ACKNOWLEGEMENT
I hereby acknowledge the receipt of your ST-3 return for the period___________
Date: 
Place:
(Signature of the Officer of Central Excise & Service 
Tax)
(With Name & Official Seal)