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5/516-8, Shakti Nagar, Goolar Road. AliGARH - 202001

ANNEXURE-l
DECLARATION IS GIVEN BY MANUFACTURER EXPOR TER FOR AVAI LIN G ALL IND USTRY RATES OF
DRAWBACK UNDER CUSTOMS CIRCULAR NO. 8/2003 DATED 17TH FEBRUARY, 2003 ISSUED
FROM FILE NO. 609/162/2002-DBK, GOVERNM ENT OF INDIA, M INI STRY OF FI NANCE &
COMPANY AFFAIRS, DEPARTMENT OF REVEN UE, NEW DELHI

1. DESCRIPTION OF GOODS IRON BUILDER HARDWARE

2. INVOICE NO. & DATE
3. NAME AND ADDRESS OF ROHAN INTERNATIONAL
EXPORTERS ALONG WITH 5/516-B SHAKTI NAGAR
THE NAME OF THE JURIDICTIONAL GOOLAR ROAD
CENTRAL EXCISE COMMISSIONERATE AlIGARH, U.P., INDIA
DIVISION/RANGE.
4. NAME OF JURIDICTIONALCENTRAL EXCISE:
OFFICE OF ASSISTENT COMMISSIONER
CUSTOMS & CENTRAL EXCISE RANGE
5. NAME OF THE SUPPORTING MANUFACTURER(S): N/A
ALONGWITH THE NAME OF THE JURIDICTIONAL
CENTRAL EXCISE COMMISSIONERATE/DIV.
RANGE
6. ADDRESS OF THE MANUFACTURING UNIT(S) : ROHAN INTERNATIONAL
5/516-8 SHAKTI NAGAR
GOOLAR ROAD
ALiGARH, U.P., INDIA

WE M/s ROHAN INTERNATIONAL EXPPORTERS OF THE ABOVE MENTIONED GOODS HEREBY

DECLARE THAT:
s} WE ARE MANUFACTURER EXPORTERS AND ARE NOT REGISTERED WITH CENTRAL EXCISE
AND HAVE NOT AND HAVE NOT PA ID ANY CENTRAL EXCISE DUTY ON THESE GOODS, AND
OR
WE ARE MERCHANT EXPORTERS AND OUR SUPPORTING MANUFACTURER(S) WHOSE DETAILS
ARE GIVEN S.NO. 4, ARE NOT REGISTERED WITH THE CENTRAL EXCISE AND HAVE NOT PAID ANY
CENTRAL EXCISE DUTY THESE GOODS, AND
t) WE FURTHER DECLARE THAT WE HAVE NOT AVAILED OF CENVAT FACILITY IN RESPECT OF
THESE EXPORT GOODS.

For Rohan International

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