[Note:- see following Parts of Chapters as mentioned in
| Sl. No. | Type of docu- ment1 | No. and date of docu- ment | Name of the sup- plier | Type of supplier2 | ECC No. of the sup- plier | Date on which inputs recei- ved | Value3 | Details of credit taken | For the main item in the document4 | |||||||
| CENVAT | SED | AED (TTA) | AED (GSI) | Addl.
Duty | Other | Descri- ption | Sub- heading | Qty. | ||||||||
| Sl. No. | Type of docu- ment1 | No. and date of docu- ment | Name of the sup- plier | Type of supplier2 | ECC No. of the sup- plier | Date on which capital goods recei- ved | Value3 | Details of credit taken | For the main item in the document4 | |||||||
| CENVAT | SED | AED (TTA) | AED (GSI) | Addl.
Duty | Other | Descri- ption | Sub- heading | Qty. | ||||||||
| OPENING BALANCE | CREDIT TAKEN DURING THE MONTH | CREDIT UTILIZING DURING THE MONTH | CLOSING BALANCE | |
| CENVAT | ||||
| SED | ||||
| AED (TTA) | ||||
| AED (GSI) | ||||
| ADDL. DUTY | ||||
| OTHER (pl. specify) |
| OPENING BALANCE | CREDIT TAKEN DURING THE MONTH | CREDIT UTILIZING DURING THE MONTH | CLOSING BALANCE | |
| CENVAT | ||||
| SED | ||||
| AED (TTA) | ||||
| AED (GSI) | ||||
| ADDL. DUTY | ||||
| OTHER (pl. specify) |
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Signature of the assessee or the authorised signatory Name in capital letters Designation Seal of the assessee |
Sd/-
(T.R.Rustagi)
Joint Secretary to the Government of India