Rule Form XVII Form XVII
- Chapter
- Annexures · Forms and Appendices
- Text as on
- As notified 08 May 2026
FORM- XVII [See rules 41(2) (e )and 41(5)(a)(b)(c)]
Notice for stoppage or reduction of Building or Other Construction Work
1. Name of Establishment DD MM YYYY
2. Registration number of Establishment
3. Address of establishment
4. Date of commencement of work
5. Approximate proposed period of work DD MM YYYY
6. Date of stoppage or reduction of the building or other
construction work
7. Total estimated cost of the construction based on the
rates of (PWD or CPWD or RERA or some other rates,
as the case may be) along with documents (original) as
per Rule 41.
8 Total incurred cost of the construction work
9 Total amount of cess payable %age of total incurred cost of Total cess
the construction as notified by payable (in
the Central Government Rs.)
10 Advance cess paid, along with details (at the time of
approval of the Project or before the commencement of
the construction work) /deduction at source, if any
11 Details of cess paid (when duration of the proposed
construction work was more than one year)
Sl. No. Year Amount (in Rs.) 11.1 1st year 11.2 2nd Year
11.3 3rd Year
12 Total amount of the cess paid (Sl.No. 10 + Sl.No 11)
13. Amount of outstanding cess (Sl.No. 9 --
Sl.No.12)
14 Proof of payment of outstanding cess, if applicable
15. Amount of overpaid cess, if applicable
16. In case overpaid, details of the bank account in which
excess amount is to be refunded
17 Remarks, if any
Declaration
1. I/We hereby declare that the particulars given above are true to the best of my/our knowledge and belief and I/We hereby declare that nothing has been concealed or any fact has been mis-represented in the above calculation made by me/us.
2. I/We hereby declare that I/We am/are quite aware of the penal provisions of the Code on Social Security, 2020(36 of 2020) and if in future anything mentioned in the above self-assessment of cess amount, is found to be incorrect or inappropriate or any incidence of hiding the facts or under calculation of cess amount is found, punitive action may be taken against me/us.
Signature and seal of employer
Name: Date: Place: Mobile Number:
E-mail (if any):
Certified by Chartered Engineer Along with his registration number, duly stamped.