Form - 1 - See rule 6 - Declaration to be filed by the manufacturer - Chewing Tobacco and Unmanufactured Tobacco Packing Machines (Capacity Determination and Collection of Duty) Rules, 2010

FORM - 1 [See rule 6] (1). Name of the manufacturer: (2). Address of the manufacturing premise: (3). ECC No: (4). Address of other premises manufacturing the same products: (5). Number of single track packing machines available in the factory: (6). Number of packing machines out of (5), which are installed in the factory: (7). Number of packing machines out of (5), which the manufacturer intends to operate in his factory for production of pouches of notified goods with lime tube and without lime tube, respectively : (8). Number of multiple track or multiple line packing machine available in the factory: (9). Number of multiple track or multiple line packing machines out of (8), which are installed in the factory: (10). Number of multiple track or multiple line packing machines out of (8), which the manufacturer intends to operate in his factory for production of pouches of notified goods with lime tube and without lime tube, resepctively: (11). Name of the manufacturer of each of the packing machine, its identification number, date of its purchase and the maximum packing speed at which the machines can be operated for packing of notified goods, with lime tube and without lime tube, of various retail sale prices : (12). Description of goods to be manufactured including whether unmanufactured tobacco or chewing tobacco or both, their brand names, whether pouches shall contain lime tube or not, and other concerned details : (13). Denomination of retail sale prices of the pouches to be manufactured during the financial year: (14). The ground plan and details of the part or section of the factory premises intended to be used by him for manufacture of notified goods of different denomination of retail sale prices and the number 1 [and details as per entry (11)] of machines intended to be used by him in each of such part or section : (15). Declaration: (a) I/We further declare that the particulars furnished above are true and correct in all respects. In case any particulars are found to be untrue/incorrect, I/We undertake to pay any additional amount of excise duty on notified goods manufactured by me/us as per provisions of the Central Excise Act, 1944 (1 of 1944) or the rules made or notifications issued thereunder. (b) I/We further undertake that any addition or removal of the packing machine would be done under the physical supervision of the Central Excise Officer as per the procedure provided in the Chewing Tobacco and Unmanufactured Tobacco Packing Machines (Capacity Determination and Collection of Duty) Rules, 2010. (c) I/We hereby agree to abide by the provisions and conditions of the Chewing Tobacco and Unmanufactured Tobacco Packing Machines (Capacity Determination and Collection of Duty) Rules, 2010. Place: Date: Name, residential address and signature of manufacturer/authorised agent. -------------------- Notes:- 1. Inserted vide Not. 04/2015 - Dated 1-3-2015,