Central Excise Series No. 55 g.g. PAGE No.

07
Form R. G. 23 A - Part - I
Stock Account of inputs, for use in or in relation to the manufacture of Final Products, issued for Clearance on payment of duty
ORIGINAL
December-14 DUPLICATE
TRIPLICATE
Rule 57 A
SL. Description or Quantity Particulars Name & Address of the Range & Issued for use in or ARI/CPI Otherwise Balance Central
No. Date Inputs received Received GPI/ARI other Manufacture / importer/ Division of relation of the No. and Document Qty. Qty. Excise
approved documents Stock - yard from whom Custom anufacture of final Date Qty. Particulars in Officer's

Remarks
Bill of Entry No. & the inputs received. Product _________ Qty. Stock initials
Date Chit No.
Date Qty
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
 PAGE TOTAL 0 0

Central Excise Series No. 55 g.g.

PAGE No. 08
Form R. G. 23 A - Part - I
Stock Account of inputs, for use in or in relation to the manufacture of Final Products, issued for Clearance on payment of duty ORIGINAL
December-14 DUPLICATE
TRIPLICATE
Rule 57 A
SL. Description or Quantity Particulars Name & Address of the Range & Issued for use in or ARI/CPI Otherwise Balance Central
No. Date Inputs received ReceivedGPI/ARI other Manufacture / importer/ Division of relation of the No. and Document Qty. Qty. Excise
approved documents Stock - yard from whom Custom anufacture of final Date Qty. Particulars in Officer's
Bill of Entry No. & the inputs received. Product _________ Qty. Stock initials

Remarks
Date Chit No.
Date Qty
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
TOTAL 0 0
 October-08
S.No Date Opening balance of Fresh Credit Allowed (4to6_
duty in Credit
Basic Other Other AR1/GP1 EC Code Range/
Excise Duties Duties other Supplier Division/
duty&Addl. (Specify) (Specify) approved Customs
Duty of document House
Customs Bill of from
equivalent S&H Entry where
to basic CESS CESS No.Date received
Ex. duty
1 2 3(a) 3(b) 3( C) 4(a) 4(b) 5

October-08
S.No Date Opening balance of Fresh Credit Allowed (4to6_
duty in Credit
Basic Other Other AR1/GP1 EC Code Range/
Excise Duties Duties other Supplier Division/
duty&Addl. (Specify) (Specify) approved Customs
 Duty of document House
Customs Bill of from
equivalent S&H Entry where
to basic CESS CESS No.Date received
Ex. duty
1 2 3(a) 3(b) 3( C) 4(a) 4(b) 5

#REF! 0.00 0.00 0.00 #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF! ------ ------ ------

SUMMERY OF ACCOUNTS FOR THE MONTH - SEPTEMBER - 2007

Excise DuEdu.Cess

Opening Balance 0.00 0.00

ADD : Credit for the Month

0.00 0.00

LESS : Debit of the Month

Closing Balance 0.00 0.00
 Central Excise Series No. 55.g.g.
Form R.G. 23 A - Part - II
ENTRY BOOK OF DUTY CREDIT

d (4to6_ Fresh Credit Allowed 7 Amount Total credit (3) + (7) Debit ( 9 To 11 )
Folio Basic of duty credited Other
Other BasicavailableOther Other AR1/ CET Sub
& Excise Duties Duties Excise Duties Duties Invoice heading
Entry Duty (Specify) (Specify) duty&Addl. (Specify) (Specify) other
No.In Duty of approved
Part Customs document/
I S&H equivalent S&H No.& Date
CESS CESS to basic CESS CESS
Excise duty
6 7(a) 7(b) 7 8(a) 8(b) 8 9(a) 9(b)

Central Excise Series No. 55.g.g.

Form R.G. 23 A - Part - II
ENTRY BOOK OF DUTY CREDIT

d (4to6_ Fresh Credit Allowed 7 Amount Total credit (3) + (7) Debit ( 9 To 11 )
Folio Basic of duty credited
Other Other BasicavailableOther Other AR1/ CET Sub
& Excise Duties Duties Excise Duties Duties Invoice heading
Entry Duty (Specify) (Specify) duty&Addl. (Specify) (Specify) other
 No.In Duty of approved
Part Customs document/
I S&H equivalent S&H No.& Date
CESS CESS to basic CESS CESS
Excise duty
6 7(a) 7(b) 7 8(a) 8(b) 8 9(a) 9(b)

#REF! #REF! #REF! #REF! #REF! #REF! #REF!

#REF! #REF! #REF! #REF! #REF! #REF! #REF!
--- ---- ---- ---- #REF! #REF! #REF! AS PER LIS - - -

SEPTEMBER - 2007
S & H Cess

0.00

0.00

0.00
 Page No. 07
Debit ( 9 To 11 ) Balance of Credit
CE Code Basic Other Other Basic Other Other Central
of the Excise Duties Duties Excise Duties Duties Excise
buyer Duty (Specify) (Specify) Duty (Specify) (Specify) Officer

Remarks
Initials

S&H S&H
CESS CESS CESS

9(c ) 10 11 11a 12(a) 12(b) 12 13 14

Page No. 08
Debit ( 9 To 11 ) Balance of Credit
CE Code Basic Other Other Basic Other Other Central
of the Excise Duties Duties Excise Duties Duties Excise
buyer Duty (Specify) (Specify) Duty (Specify) (Specify) Officer
Remarks
 Remarks
Initials

S&H S&H
CESS CESS CESS

9(c ) 10 11 11a 12(a) 12(b) 12 13 14

--- 278978.00 5579.00 2793.00 #REF! #REF! #REF!

 BACK TO
DATA SHEET
 Proforma for Records of Receipts of duty-paid goods and issue thereof
(Rule 52AA)
Receipt
Sl. No. Manufacturer or Importer
invoice Bill No. and Date

1 2
 Form R.G.23D

Receipt
Name and address of Rate and Amount of duty Quantity Total of duty
Manufacturer or Importer (both in words and
including Central Excise Range, figures)
Division and Commissionerate,
Custom House and his New
Excise Control Code
(manufacturer) or Import Export
Code (Importer)

3 4 5 6
rm R.G.23D

Description of Invoice No. and Name and address Quantity Tariff Heading
Date or Bill of Entry of manufacturer or or sub-heading
and date, of the Importer including
supplier if he is not Central Excise
manufacturer or Range, Division
importer and
Commissionerate,
Customs House

7 8 9 10 11
 Issue
Rate and amount of Invoice & Name of the Customers Quantity Total amount of duty (both
duty (both words and date to whom goods are in words and in figures)
figures) sold including Central
Excise Range, Division
and Commissionerate
Customs House

12 13 14 15 16
 Range:
Name of the factory
With address and
Registration
EC Code No.

Personal Ledger Account For The month of______________

Name of the factory
With address and
Registration
EC CODE Number
Date and SL. Particulars of No. Date Central EC code of
No. of entry credit/debit excise Tariff the buyer
Document Sub-heading
Description of number
documents with
name of treasury
where necessary

Cess on Commodities] M
Credit Debit Balance Credit Debit

Signature of
THE Assessee
or his Agent

12

Notes:

1. This account should be prepared in triplicate using indelible pencil and double sided carbon. The original and duplicate copies sh
2. Columns 7 to 9 of the Form have been left blank to be used for showing the appropriate type of duty and the duty credited and d
3. No. and date of invoice against which debit is raised in this account should be shown in Col. 3.
4. Where single invoice covers goods falling under different sub-heading, separate entries shall be made for each of such sub-headin
5. Where consolidated debit entry is permitted to be made at the end of the day, separate entries shall be made for each sub-headi
6. Assessee may exclude from their Accounts those of the Columns 7 to 11 which are inapplicable.
7. The closing balance in the last months PLA should be brought and shown in the column for credit against the entry balance BF.
 Range:
Name of the factory
With address and
Registration
EC Code No.

Original
Duplicate
Triplicate
unt For The month of_________________200____________

Basic Credit Excise Debit Duty Balance Credit Debit

Cess on Commodities] Miscellaneous

Balance Credit Debit Balance Credit

rbon. The original and duplicate copies should be detached and sent to the Central Excise Officer- Incharge alongwith the R.T. 12 Return.
e type of duty and the duty credited and debited there against.

shall be made for each of such sub-heading.

e entries shall be made for each sub-heading.

for credit against the entry balance BF. Which should be verified by the C.A.O. with the closing balance in the last months PLA.
 Balance

Debit Balance

ge alongwith the R.T. 12 Return.

ce in the last months PLA.

 Annexure-15

FORM UT-1

Letter of Undertaking

For removal for export of excisable goods without payment of duty

To

The President of India (hereinafter called the "President"), acting through the Assistant Commissioner of Central Excise or Deputy Comm
Central Excise or the Maritime Commissioner or such Central Excise Officer duly authorised by the Central Board of Excise an
constituted under the Central Board of Revenue Act, 1963 (54 of 1963) (hereinafter called "the Board")_____________________[Add
office].
I/We...................................of......................................... (Address of the factory) having Central Excise
No..................................................., hereinafter called "the undertaker(s) including my/our respective heirs, executors/ administr
representatives/successors and assigns by these presents, hereby jointly and severally undertake on this...................day of.............
President.
(a) to export the excisable goods removed from my/our factory/warehouse/approved place of storage without payment of duty under ru
Central Excise (No.2) Rules, 2001 within six months from the date of such removal or such extended period as may be permitted by the j
Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise or the Maritime Commissioner or the Central ex
duly authorised by the Board;
(b) to observes all the provisions of the Central Excise (No.2) Rules, 2001and all such amendments thereto as may be issued from time t
observed, in respect of export of excisable goods to a foreign country;
(c) to export the goods to the satisfaction of the Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Ex
jurisdiction over the factory of production or manufacture
(d) pay the excise duty payable on such excisable goods in the event of failure to export them, along with an amount equal to twenty f
interest per annum on the amount of duty not paid, from the date of removal for export till the date of payment.
I/We declare that this undertaking is given under the orders of the Board for the performance of enacts in which the public are interested.
Signature(s) of undertaker(s).

Signature(s) of undertaker(s).

Date:

Place:

Witnesses

(1) Name and Address Occupation

(2) Name and Address Occupation

Date

Place

Accepted by me on this................................................day of.........................(month).....................................(year)

......................................of Central Excise, (Designation)
for and on behalf of the President of India.
 Quarterly return for production and removal of goods under exemption notifi

Form-A
(See rule 12)

1. Name and address of the assessee / manufacturer :

2. PAN :

3. Range ________Division________________Commissionerate____________

4. Period of return: Quarter ending _______________________

5. Details of the manufacture and removal of goods under c Notification No. 49/2003-CE dated the 10th June,
the 10th June, 2003 (Tick whichever is applicable):

Table

8- Digit Central Excise Tariff Item No. Description of Unit of quantity Quantity
goods manufactured

-1 -2 -3 -4

(a) Name and address of the related person/unit :

(b) PAN number of the related person/unit :

(c) Quantity of raw material/input received_____ and value thereof _______

(d) Quantity of goods cleared________ and value thereof __________

I hereby declare that the information given above is true, correct and complete in every respect.

(Signature and name of the manufacturer or authorized signatory)

Place:_________
Date:__________

ACKNOWLEDGMENT

Q Q
Return of goods produced and manufactured
by availing exemption notification
No.49/2003-CE / No.50/2003-CE for the
quarter ending

D D
Date of receipt

: (Name and signature of the competent Officer with official seal)

f goods under exemption notification

2)

ssee / manufacturer :

Commissionerate________________

_____________________

9/2003-CE dated the 10th June, 2003 or c Notification No. 50/2003-CE dated
whichever is applicable):

Quantity and value of goods removed from factory

Export Sale within India Other removals not

involving sale such as
transfer of goods to a
depot or transfer to
another factory, etc.
Quantity Value (Rs) Quantity Value (Rs) Quantity Value (Rs)
-5 -6 -7 -8 -9 -10

every respect.
Y Y Y Y

M M Y Y Y Y
 FORM A.R.E. 1
Application for removal of excisable goods for export by (Air/Sea/Post/L

To

Superintendent of Central Excise

........................(Full Postal Address)

1. Particulars of [Assistant/Deputy Commissioner of Central Excise]/Maritime Commissioner of Central Excise from whom rebate shall
bond/undertaking is executed and his complete postal address.

2. I/We........ of..............propose to export the under-mentioned consignment to........... (Country of destination) by Air/Sea/Land/Parcel
rebate/bond/undertaking *.

Particulars of No. and Gross Marks and Quantity of Description

Manufacturer of weight/ Nos. goods of
goods-and his
Central Excise
Registration No.
Description Net weight on Goods Value Duty
of packages

packages Rate Amt. (Rs.)

-1 -2 -3 -4 -5 -6 -7 -8 -9

3. I/We hereby certify that the above- mentioned goods have been manufactured.
(a) availing facility/without availing facility of CENVAT credit under CENVAT Credit Rules, 2001
(b) availing facility/without availing facility under Notification 41/2001-Central Excise (N.T) dated 26th June, 2001 issued under rule 18 of C
(c) availing facility/without availing facility under Notification 43/2001-Central Excise (N.T) dated 26th June, 2001 issued under rule 19 of C

4. I/We hereby declare that the export is in discharge of the export obligation under a Quantity based Advance License/Under Claim of Du

5. I/We hereby declare that the above particulars are true and correctly stated.

Time of Removal..................................

Signature of owner or his

Authorised agent with date.

Name in Block Letters & Designation (SEAL)

PART A

Certification by Central Excise Office

1. Certified that duty has been paid by debit entry in the Personal Ledger Account No..........and/or CENVAT Account Entry No........or reco

OR
Certified that the owner has entered into Bond No............. under Rule 19 of Central Excise (No.2) Rules, 2001 with the.............................
2. Certified that I have opened and examined the packages No................................................................. and found that the particulars st
3. I have verified with the records, the exporter is only availing the export incentives, as specified in box No.6 and found it to be true.
4. Certified that I have drawn three representative samples from the consignment (wherever necessary) and have handed over, two sets

Place.....................

Date........................

Signature

(Name in Block Letters)

Superintendent of Central Excise Inspector of Central Excise

PART B

Original

Duplicate

Triplicate

CERTIFICATION BY THE CUSTOMS OFFICER

Certified that the consignment was shipped under my supervision under Shipping Bill No_______ dated _______by S.S./Flight No. _____

OR

Certified that the above-mentioned consignment was stuffed in Container No._____________________ belonging to Shipping Line_____

OR

Certified that the above-mentioned consignment has been duly identified and has passed the land frontier today at_______in its original c

Signature

(Name and designation of the Customs

Officer in Block Letters)/(Seal)

PART C

EXPORT BY POST

Certified that the consignment described overleaf has been dispatched by foreign post to ........................... on .................... day of 200.....

Place ...........

Date ..........

Signature of Post Master

(Seal)

PART D

REBATE SANCTION ORDER

(On Original, Duplicate and Triplicate)
Refund Order No.................... dated ....................... Rebate of Rs................. (Rupees ...............................................) sanctioned vide Che

Place ...........

Date ..........

PART D

REBATE SANCTION ORDER

(On Original, Duplicate and Triplicate)

Refund Order No.................... dated ....................... Rebate of Rs................. (Rupees ...............................................) sanctioned vide Che

Place ...........

Date ..........

Assistant/Deputy Commissioner/ Maritime

Commissioner of Central Excise

*Strike out inapplicable portions.

NOTE:
Air/Sea/Post/Land)*

e from whom rebate shall be claimed/with whom

s.

on) by Air/Sea/Land/Parcel Post under claim for

-10 -11 -12

1 issued under rule 18 of Central Excise(No.2) Rules, 2001.

1 issued under rule 19 of Central Excise (No.2) Rules, 2001.

License/Under Claim of Duty Drawback under Customs & Central Excise Duties Drawback Rules, 1995.

PART A

count Entry No........or recorded as payable in Daily Stock Account, on the goods described overleaf.

with the.....................................[F.No.___________________], duly accepted by the Assistant Commissioner/Deputy Commissioner of Central Excise__
ound that the particulars stated and the description of goods given overleaf and the packing list (if any) are correct and that all the packages have been
nd found it to be true.
ave handed over, two sets thereof duly sealed to the exporter/his authorised representative.

RT B

__by S.S./Flight No. ______which left on the_______ day of________ (Month)__________(year)

ing to Shipping Line_________________ based on the "Let Export Order" given on ____________day of.________(Month)__________year) on the S

y at_______in its original condition under Bill of Exports No______________ Place_____________ Date_____________.

PART C

XPORT BY POST

................... day of 200..........

.......) sanctioned vide Cheque No. ..................dated .....................

.......) sanctioned vide Cheque No. ..................dated .....................

ty Commissioner of Central Excise________ on _________(Date).
and that all the packages have been stuffed in the container No................ with Marks.................. and the same has been sealed with Central Excise Se
__(Month)__________year) on the Shipping Bill No______ dated________ and sealed by seal/one time lock No._______________ in my supervision
s been sealed with Central Excise Seal/One Time Seal (OTS) No..............
______________ in my supervision and the container was handed over to the Custodian M/s______________ for being shipped via ______________
being shipped via ___________________(Name of the Port).
Annexure - 10 Profarma for monthly
return under Rule 7 of the CenVat Credit
rules 2002 (See 7 of the Credit Rules 2002)

INPUT GOODS ISSUED BY I OR II STAGE DEALERS & MANUFACTURERS - FOR THE

Opening Balance
Sl. CenVatEd.Cess SHE ACD Inv # DateParty Name
Type
1 -
2 -
3 -
4 -
5 -
6 -
-
7 -
8 -
-
9 -
10 -
11 -
12 -
13 -
-

Capital Goods
Sl.Opening Balance
Ed.Cess SHE ACD Inv # DateParty Name
Type
1 CenVat - - -
2 - - - -
3 - - - -
4 - - - -
-
Abstract.

Opening Balance
Duty Cr. I & II Stage Dealers
Duty Cr. Manufacturers
Duty Cr. Capital Goods

Service Tax
Total
Debit - Service Tax
Debit
Closing Balance
 Name & Address of the Factory:

Registration No.
EC Code No.
ACTURERS - FOR THE MONTH OF _______________
Credit Availed for the month Total
ECC A
#sseb.Value % CenVatEd.Cess SHE ACD CenVatEd.Cess

- - -
- - -
- - -

Credit Availed for the month Total

ECC A
#sseb.Value % CenVatEd.Cess SHE ACD CenVatEd.Cess
 CenVat Cess SHE ACD
g Balance -
. I & II Stage Dealers - - -
. Manufacturers -
. Capital Goods -
- - - -
- - - -
- - - -
Service Tax - - - -
-
g Balance - - - -
Total Debit Closing Balanc
SHE ACD CenVatEd.Cess SHE ACD Description
SubHeadCenVat
39172110 5,379
72151000 5,739
72151000 ###
72151001 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###
72151000 ###

Total Debit Closing Balanc

SHE ACD CenVatEd.Cess SHE ACD Description
SubHeadCenVat
 Page no6
Closing Balance
Ed.Cess SHE ACD
108 54 -
115 58 -
249 125 -
331 166 -
372 187
705 354
(410) (204)
(316) (157) -
### (643) -
### (643) -
### (519) -
(795) (395) -
(660) (327) -
(372) (183) -
(305) (149) -
### (627) -

Closing Balance
Ed.Cess SHE ACD