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FORMATS FOR CLAIMING DUTY DRAWBACK ON ALL INDUSTRY RATES/FIXATION OF DRAWBACK RATES/REFUND OF TERMINAL EXCISE DUTY

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..... t Quality Technical characteristics Whether imported or indigenous Unit Gross qty. required Wastage Qty Irrevocable Recover able 1 2 3 4 5 6 7 8 9 Sale Price of waste per unit of Qty By Product/co-product Net wt. of the material Remarks Qty. Sale value per unit 10 11 12 13 14 Give convenient units by which goods are invoiced for export (e.g. per ton, per dozen/Pcs., per Sq. meter etc). Notes:- 1. The Units of quantity to be furnished in Col.6 should be given in such a manner that it could be related to Statements II and III respectively. 2. Maintenance stores/materials such as lubricating oil, greases, fuel etc. which are employed to run the machinery and plant should be excluded. 3. The data for packing mate .....

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..... ted by indigenous materials; c) The wastage/co-product/by-product claimed are as per production process in the factory. There is no suppression of co-product/by-products. The wastages claimed in our views are reasonable and are comparable to the general norms for the industry. Where wastages are considered high, an indication of the normal wastage in the industry has been indicated by us, under 'Remarks' column. Signature____________________________ Name_______________________________ Designation__________________________ Address_____________________________ Place___________ Date____________ Branch of Engg. in which qualified:_____________________ Name & Address of the institution :_____________________________________ u .....

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..... of dispute may be clearly indicated supported by appropriate letter from concerned customs authorities. Normally no DBK is admitted for provisionally assessed B/Es. 4. Refund application made against any B/E, with details must be indicated. 5. Stock position of the above materials/Components also to be given separately (in linked statement II-A). CERTIFICATE REQUIRED FOR DBK II STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of any of the above mentioned bills of entries (other than whose details are furnished) has been or will be lodged with the Customs Authorities. Signature and Stamp of independent Signature Charter .....

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..... k with details to be indicated. 4. Photocopies of all Bills of Entries mentioned above must be enclosed. CERTIFICATE REQUIRED FOR DBK II A STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of any of the above mentioned bills of entries has been or will be lodged with the Customs Authorities. Signature and Stamp of independent Chartered Accountant/Cost Accountant Telephone Number E-mail Address Fax No. Signature ________________ (name & Designation of the Chief Executive/Production incharge) (with Seal) Telephone Number E-mail Address Fax No. Place Date DBK III STATEMENT Materials/Components of Indian Origin obtain .....

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..... opies for other Invoices must be enclosed. 4. If the assessment which is not final or duty is paid under protest the extent of dispute may please be clearly indicated (copy of S V B Order to be attached). 5. Refund applications made if any against any Invoice with Details, to be indicated. CERTIFICATE REQUIRED FOR DBK III STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of any of the above mentioned materials/components procured against Invoices/subsidiary Invoices has been or will be lodged with the Central Excise Authorities. Signature and Stamp of independent Signature_________ Chartered Accountant/Cost Accountant (Nam .....

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