ANNEXURE - III - DECLARATION TO BE FILED IN THE CASE OF EXPORT OF GOODS IN ANTICIPATION OF ISSUE OF AN ADVANCE LICENCE/DEEC - Shipping Bill and Bill of Export (Form) Regulations, 1991

ANNEXURE - III DECLARATION TO BE FILED IN THE CASE OF EXPORT OF GOODS IN ANTICIPATION OF ISSUE OF AN ADVANCE LICENCE/DEEC I/We __________________________ (name of the exporter) do hereby declare as follows :- (a) that the shipment is in pursuance of discharge of the export obligation against export order No. ____________ dated __________; and (b) I/We request for registration of the shipping bill in anticipation of the grant of an Advance Licence/DEEC for which we have already applied to the Licensing Authority, namely vide our application No. ____________ dated ___________ and for which I/We have obtained the letter of permit/receipt No. ____________ dated ________ from the said Licensing Authority. (c) that the following raw materials/components/consumables have been used for the manufacture of goods covered under this shipment, namely :- Sl. No. Description Quality Technical Characteristics Quantity Whether imported/ indigenous (c) that I/We are not availing the benefit of the provisions of Rule 191A or Rule 191B of the Central Excise Rules, 1944 OR that I/We are availing the benefit of the provisions of Rule 191A or Rule 191B of the Central Excise Rules, 1944 in respect of __________________ (name of the item). [ NOTE : Strike out the declaration whichever is not applicable] Name Signature of the Exporter ______________ (For use by the Customs authorities) Shipping Bill No. Date ______________ Name Signature of the Customs Officer _________