|Application of removal of excisable goods for export by Sea/Air/Parcel|
|2. We MobileERP Softech P Ltd. (100% EOU) of Baroda, RANGE - V, 730405, New Central Excise Building,East Wing, 3rd Floor, Ellora Park,Baroda - 390023, propose to export the under-mentioned consignment to ETHIOPIA (Country of destination) by Air/Sea/Parcel]* under claim for rebate/Bond Undertaking*|
|GOODS REMOVED FOR EXPORT UNDER SELF-SEALING & SELF-CERTIFICATION PROCEDURE I HEREBY CERTIFY THAT THE GOODS HAVE BEEN SEALED IN MY PRESENCE|
(a) without availing facility of CENVAT credit rules, 2002.
(b) without availing facility under Notification 41/2001 Central Excise (N.T) Dt. 26.06.2001 issued under rules 18 of Central Excise Rules, 2002.
(c) availing facility under Notification 43/2001 Central Excise (N.T) Dt. 26.06.2001 issued under rules 19 of Central Excise Rules, 2002.
4. We hereby declare that the export is in discharge of the export obligation under 100% EOU Scheme.
5. We hereby declare that the above particulars are true and correctly stated.
|Signature of owner or his authorized agent with date|
|Time of Removal:Hrs.||
Name in Block Letter and Designation (SEAL)
|CERTIFICATION BY THE CENTRAL EXCISE OFFICE|
Certified that the owner has entered into Bond No. B/02/100%EOU/Sameer/MKP/II/05 under Rule 19 of Central Excise Rules, 2002 with the Asst. Commissioner [F.No. _____________], duly accepted by the Assistant/Deputy Commissioner of Central Excise & Customs, Division- Makarpura on ___________(Date)
|"Goods removed from exports without Central Excise sealing & examination"|
|(Name in Block Letters)||(Name in Block Letters)|
|Superintendent of Central Excise||Inspector of Central Excise|
|CERTIFICATION BY THE CUSTOM OFFICER|
|Certified that the consignment was shipped under Shipping Bill No.__________ dtd.__________ by S.S./Flight No.___________ which left on the __________ day of ________(Month) 2007(Year).|
|Certified that the above-mentioned consignment was stuffed in Container No. ___ belonging to Shipped Line ___________ based on the "Let Export Order" given on ____________ day of________ (Month) 2007 (Year) on the Shipping Bill No. __________ dtd. ____________ and sealed by seal/one time lock No.__________ in my supervision and the container was handed over to the Custodian M/s. ___________________ for being shipped via ______________ (Name of the port).|
|Certified that the above-mentioned consignment has been duly identified and the has passed the land frontier today at __________ in its original condition under Bill of Exports No. ____________ Place _____________ Date __________________|
|Date :||(Name and Designation of the Custom Officer in Block letters with Seal)|
|EXPORTS BY POST|
|Certified that the consignment described overleaf has been dispatched by the foreign post to ____________________on_________________ day of ______________ 2007.|
|Place:||Signature of Post-Master|
(On Original, Duplicate and Triplicate)
|Refund Order No.____________ Dated ____________ Rebate of Rs.__________ (Rupees_________________________________________) sanctioned vide Cheque No._____________ dtd. ________________|
Commission of Central Excise
|*Strike out inapplicable Portions|