REGISTER FOR MAINTENANCE OF CONSUMPTION AND STOCKS OF IMPORTED RAW MATERIALS/COMPONENTS ETC BY THE ACTUAL USERS

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..... ED RAW MATERIALS, COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION/DFIA* INPUTS ALLOWED IN THE AUTHORISATION (S) (A NO. OF AUTHORISATIONS*** CAN BE CLUBBED TOGETHER FOR THE PURPOSE OF ACCOUNTING OF INPUTS) PRODUCT (S) EXPORTED UNDER THE AUTHORISATION (S) EXCESS INPUTS, IF ANY ALLOWED UNDER THE AUTHORISATION(S). (4 - 8) IN CASE OF EXCESS AS IN COLUMN 9 REMARKS Sl.No. Authorisation No(s) .....

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..... s are correct. Name in block letters: …........................................ Place: : …........................................ Date: Designation: …........................................ Full official address: …........................................ Official Seal/stamp Full Residential Address : …........................................ CHARTERED .....

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..... ully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted. I/We further declare that neither I, nor any of my/our partners is a partner, director, or an employee of the above-named entity, its Group companies or its associated concerns. (Sign .....

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