1.

Name & Address of the Assessee :

2. Range and Division :
3. Details of Previous Audit :
4. Whether SSI Unit, if so, state SSI Notification availed them
5. List the items assessed under MRP assessment (Section 4A)
6. Details of goods manufactured and exemption claimed, if any
Current
Year
Previous
Year1
Previous
Year2
7.
8. Production Details (Value in lakhs)
Qty Value Qty Value Qty Value Qty Value Qty Value
9. Details of duty payment during last three financial years (Rs. In lakhs)
Duty Paid-
Input
Credit
Duty Paid-
Capital
goods credit
Duty Paid-
Service Tax
Credit
Clearance for
export on
payment of duty
Clearance for
export without
duty payment
Commodity/Year Production Clearance for home
consumption on duty
payment
Clearance for
home
consumption
Date of last Audit Period Covered
ANNEXTURE - B
ASSESSEE'S PROFILE
Internal Audit CERA Audit
Date of Last Audit
S.No.
Whether goods are produces under Central Excise (removal of goods at concessional rate of duty for manufacture of
excisable goods) Rules, 2001 or goods are imported under Customs (import of goods at concessional rate of duty for
manufacture of excisable goods) Rules, 1996, if yes, please specify name of such product.
Description of
the Product
Classifi
cation
Exemption Notfn. No.
with Sl. No. (Other than
captive consumption
Notfn. And Export
clearance Notfn.)
Year (indicate
the financial
years starting
with the
current
financial year)
Duty Paid- PLA
KAYGEE SHOETECH PVT LTD
Conditions of
Notification, if any
Rate of Duty
Period Covered
(b) (c) (d)
10.
S.No.
11. Details of Show Cause Notices issued during last three financial years and current financial year:
S.No.
12. Details of litigations (Adjudication, Appeals, Court Cases etc.) pending:
S.No.
(Range Officer)
Year (indicate
the financial
years starting
with the
current
financial year)
(a) (e)
[b+c+d]
(f)
[a+e]
(g)
[b/f]%
Details of Anti-evasion cases booked (including the cases where only AE-2 have been issued) during last three financial
myears and current year :
Show Cause Notice No. & Date (if issued)
Duty involved Period of Demand Issue/Issues involved
Show Cause Notice No. &
Date
Issue/Issues involved Amount of Duty involved Adjudicating authority
Duty + RF + PP = Total Amount
Involved
Issue in brief Period of pendency before the
present deciding authority.
Forum before whom it is
pending