ANNEXURE 65

TR 6 Challan

Original/
Duplicate/
Triplicate/
Quadruplicate

T.R. 6 Challan No. _______________________________________

(Treasury Rule 92)
Challan of amount paid into the _____________ Accounting Collectorate ________________________
_______________(Code No. ___________) (Code No. _________)

(Name of the Bank Branch with Code No.)
Division _______________ (Code No. __________)
Name of the focal point bank ___________________
_____________(Code No. __________________) Range __________________ (Code No. __________________)

Name and address of the assessee __________________________________________________________________________________________________________________________________________________(Assessees Code No. _____________________)

By whom tendered _______________________________________________________________________________________________________

Full particulars of the remittance and authority, if any, (PLA/Tariff item / Order No. and date etc./ Name of the commodity manufactured)	HEAD OF ACCOUNTS and Major Head 038 UNION EXCISE DUTIES (Indicate below the appropriate Minor head from the list of the reverse	Accounting Code No.	AMOUNT TENDERED				Counter Signature of the Departmental Officer (where required)
			By Cash		By Cheque, Draft, Pay order etc.
			Rs.	P.	Rs.	P.
	1. Basic Excise Duties. 2. Special Excise Duties. 3. Additional Excise Duties in list of Sales Tax. 4. 5.	Total

Rupees (in words) ______________________________________________________________________________________
Date ____________________________ Signature of the Tenderer _____________________

(To be filled in by the Bank) Received payment (in words) Rupees ________ ___________________________________________________ Banks Receipt Stamp Signature of the Authorised Officer of the Bank Name of the Bank ________________________ _______________________________________

Space For Focal Point Bank Stamp indicating the date, amount credited to Government Account. Please ensure that you have filled in the details overleaf without which the department will not be responsible for proper adjustment of amount paid by you

Sl. No.	Description of goods	Classification Code	Unit Code	Quantity	Assessable value	Effective duty rates	No. and Date of Notification	Amount of Duty BED SED AED	Proforma credit	Net duty
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)	(10)	(11)

Notes:

1. Sr. No. refers to the listing of various products classification code-wise.

2. Please indicate, in brief, the description as per the sub-heading of the various products covered by same code classification.

3. The classification code is available with the range Central Excise staff who will help you to indicate the correct code for the sub-product of the commidity covered by a single tariff item.

4. Unit code refers to quantity or valume unit i.e. K. Gs, K. Litres, Meter etc.

5. assessable value should be as per R.T. 12 returns.

6. Effective duty rate is as per the classification list and should include only Basic Excise Duty rate.

7. Proforma credit amount would be the amount being utilised or propose to be utilised for the quantity and duty covered by this challan.