APPENDIX 23
REGISTER FOR ACCOUNTING THE CONSUMPTION AND STOCKS OF DUTY FREE IMPORTED OR DOMESTICALLY PROCURRED RAW MATERIALS,
COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION / DFIA (Please read paragraph 4.26 and 4.30 of the Handbook, Vol. 1)
| INPUTS ALLOWED IN THE AUTHO- RISA- TION (S) (A NO. OF AUTHO- RISA- TIONS** CAN BE CLUBBED TOGETHER FOR THE PURPOSE OF ACCOU- NTING OF INPUTS ) | PRO- DUCT (S) EXPO- RTED UNDER THE AUTH- ORISA- TION (S) | EX- CESS INPUTS, IF ANY ALLO- WED UNDER THE AUTHO- RISA- TION(S).
(4 - 8)
| IN CASE OF EX- CESS AS IN COLUMN 9 | REMA- RKS |
| Sl No. | Autho- risa- tion No(s)with date (A No. of authori- sations can be clubbed together for accou- nting purpose) | In- puts | Qua- ntity | Pro- duct | Quan- tity | Inp- uts Act- ua- lly con- sum- ed for the exp- ort- ed pro- duct | | Addit- ional exports effe- cted in propo- rtion to excess inputs | Input quan- tity redu- ced propo- rtiona- tely in the authori- sation* | Cus- toms duty paid along- with inte- rest | |
| | | | | | | In- puts | Quan- tity (Inc- lud- ing act- ual wast- age incu- rred) | | | | | |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
*Applicable only in case either partial import or NIL import has been effected.
** In case of transferable DFIA, information in the above format has to be furnished individual DFIA wise.
We declare that the aforesaid particulars are correct.
| | Signature of the authorisation holder | :
........................................ |
| | Name in block letters | :
........................................ |
| Place: | | :
........................................ |
| Date: | Designation | :
........................................ |
| | Full official address | :
........................................ |
Official
Seal/stamp | Full Residential address | :
........................................ |
CHARTERED ACCOUNTANT / COST & WORKS ACCOUNTANT CERTIFICATE
I/We hereby confirm that I / We have examined the prescribed registers and also the relevant records of M/s..........................
having IEC number
... and PAN number
.for the licensing period(s)
and hereby certify that the information furnished above is true and correct in all respects; no part of it is false or misleading and no relevant information has been concealed or withheld;
I / We fully understand that any statement made in this certificate, if proved incorrect or false, will render me / us liable to face any penal action or other consequences as may be prescribed in law or otherwise warranted.
I/We further declare that neither I, nor any of my / our partners is a partner, director, or an employee of the above-named entity, its Group companies or its associated concerns.
(Signature and Stamp/ Seal of the Signatory)
(Chartered Accountant/ Cost & Works Accountant)
Place:
Date: | Name of the Signatory:
Address:
Membership No: |
Note:
1. Each page of this document is to be signed by the Chartered Accountant / Cost and Work Accountant with his registration number.
2. Mention N.A. wherever the information required in the table is not applicable.
3. For columns 10, 11 & 12 of the table, please furnish the copy of the documentary evidence.
4. The authorisation holder is required to furnish the details for the authorisations which have been redeemed in the last licensing year.
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