APPENDIX 23
REGISTER FOR ACCOUNTING THE CONSUMPTION AND STOCKS OF DUTY FREE IMPORTED OR DOMESTICALLY PROCURRED RAW MATERIALS,

COMPONENTS ETC. ALLOWED UNDER ADVANCE LICENCE BY THE ACTUAL USER (Please read paragraph 4.26 and 4.30 of the Handbook, Vol. 1)

INPUTS ALLO- WED IN THE LICENCE (S) (A NO. OF LICENCES CAN BE CLUBBED TOGETHER FOR THE PURPOSE OF ACCOUNTING OF INPUTS)				PRODUCT(S) EXPORTED UNDER THE LICENCE (S)				EXC- ESS INP- UTS, IF ANY ALLO- WED UNDER THE LICENCE(S). (4-8)	IN CASE OF EXCESS AS IN COLUMN 9			REMA- RKS
Sl No.	Lice- nce No (s) with date (A No. of lice- nces can be club- bed toge- ther for acc- ount- ing pur- pose)	Inp- uts	Quan- tity	Pro- duct	Quan- tity	Inputs Act- ually consumed for the expo- rted product			Additi- onal exports effe- cted in pro- por- tion to exc- ess inputs	In- put qua- ntity red- uced pro- portion- ately in the licence*	Cus- toms duty paid along- with inte- rest paid
						Inp- uts	Qua- ntity (Inclu- ding actual 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.

We declare that the aforesaid particulars are correct.

Place: Date: Official Seal/stamp

Signature of the Licence holder Name in block letters Designation Full Residential address Full official address

: ........................................ : ........................................ : ........................................ : ........................................ : ........................................ : ........................................

Appendix 23 Continued

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 column 10,11 & 12 of the table, pl furnish the copy of the documentary evidence.

4. The licensee is required to furnish the details for the licences which have been redeemed in the last licensing year.

(Appendix 23 has been amended vide PN.NO. 60/2005, DT. 10/10/2005)

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APPENDIX 23

REGISTER FOR MAINTENANCE OF CONSUMPTION AND STOCKS OF IMPORTED RAW MATERIALS/ COMPONENTS ETC BY THE ACTUAL USERS

 

S.No.	Description of items	Receipt		Particulars of imports	Name and address of authorised source if goods obtained from any other source	BE NO. and date of sale notice No. Invoice No. and date and Gr/RR No. and date under which goods transported from the port of lading or place of receiving goods to the factory site	Date
		Opening balance	Qty of fresh stock received
[1]	[2]	[3]	[4]	[5]	[6]	[7]	[8]

Quantity	Issue		Consumption
End products in which used. Batch no. also to be shown in the case of pharmaceutical units	Qty produced out of import raw material consumed	Qty diverted to others in an authorised manner	Closing balance	Remarks
[9]	[10]	[11]	[12]	[13]

Note-1:- This Register can also be maintained in electronic form. Any extract of this register can also be submitted to the Licencing Authority concerned in electronic form digitally signed.

(Above food note has been added vide PN. No. 08/2005, DT. 13/05/2005) ]

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