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Statement DBK-III
Materials / Components of Indian Origin obtained by the manufacturer during the period October 2002 to January 2003 for manufacture of export product mentioned in DBK-I Statement
| S.NO |
Description |
Technical
Characteristics |
S.No.in
DBK-I
Statement |
Quantity Purchased |
Assessment value |
Central Excise Tariff No. |
Effective rate of duty |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
| Amount of duty paid |
Name and address of the supplier |
Gate Pass No. and date |
Is assessment of duty final Remarks |
| 9 |
10 |
11 |
12 |
In respect of stock of materials / components in hand on 1st October 2002:
(a) the details of the stock and
(b) the particulars of the procurement (in proforma as at Columns 2-12) amounting for the stock should also be furnished separately.
Note:
(1) In this statement, details of only those items which are chargeable to the excise duty to be given for which proof of Central Excise duty can be established by Gate Pass.
(2) If any materials are not covered by the Gate Passes, information to the extent available may be given with clear indication as to basis of this information.
(3) Materials / Components specified in DBK-II statement if they are also of indigenous origin and procured locally should be included in this statement whether dutiable or not. This is irrespective of the fact whether the said materials / components are claimed to be only for the manufacture of goods for local sales and not for exports, this should be specifically stated in the Remarks column against the respective serial number of the said materials / components.
(4) Please give clear indication whether CENVAT benefit availed for any input. If it is not availed, reason thereof to be given under ‘Remarks’ column.
CERTIFICIATE
Certificate that the particulars 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 has been or will be lodged with the Central Excise authorities.
Signature the manufacturer
(or) authorized agent
Station
Date
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