ANNEXURE - I - DECLARATION TO BE FILED IN CASE OF EXPORT OF GOODS UNDER CLAIM FOR DRAWBACK - Shipping Bill and Bill of Export (Form) Regulations, 1991

ANNEXURE - I DECLARATION TO BE FILED IN CASE OF EXPORT OF GOODS UNDER CLAIM FOR DRAWBACK I/We _______________________________ (name of the exporter) do hereby declare as follows :- (a) that the quality and specifications of the goods as stated in this Shipping Bill are in accordance with the terms of the export contract entered into with the buyer/consignee in pursuance of which the goods are being exported; (b) that the duties of Customs and Central Excise have been paid in respect of the containers, packing materials and other materials used in the manufacture of the export goods on which drawback is being claimed and that in respect of such containers, packing materials or other materials, no separate claim for rebate of duty under Rule 12A or Rule 191A of the Central Excise Rules, 1944 has been made or will be made to the Central Excise authorities; (c) that there is no change in the manufacturing formula and in the quantum per unit of the imported materials or components if any, utilised in the manufacture of export goods; and that the materials or components, which have been stated in the application under Rule 6 or Rule 7 to have been imported, continue to be so imported and are not being obtained from indigenous sources; (d) that the present market value of the goods is as follows :- (e) that the goods are not manufactured and/or exported in discharge of export obligation against an advance licence issued under the Duty Exemption Scheme vide relevant import and export policy in force; (f) that the goods are not manufactured and/or exported by a unit licenced as a 100% export oriented unit in terms of the import and export policy in force; (g) that the goods are not manufactured and/or exported by a unit situated in any Free Trade Zone/Export Processing Zone or any such other Zone; (h) that the goods are not manufactured partly or wholly in bonds under Section 65 of the Customs Act, 1962; (i) that the goods are not manufactured partly or wholly in bond under Rule 191B of the Central Excise Rules, 1944; (j) that the export value of each of the goods covered by this shipping bill is not less than the total value of all imported materials used in the manufacture of such goods. [NOTE : Strike out the declaration whichever is not applicable] Name Signature of the exporter ______________