EXPORT UNDER 100% EOU SCHEME
FORM A.R.E. 1
A.R.E.1 No. SI/00006/2009-10 DATE : 10/12/2009 11:49:40
Application of removal of excisable goods for export by Sea/Air/Parcel
Division : , Address: Baroda-390006 RETAIL INVOICE
   
Commissionerate:  
To,  
The Superintendent of C. Excise & Customs,  (Full Postal Address) Range: V, Division: Makarpura, New Central Excise Building East Wing 3rd Floor Ellora Park, Vadodara-390023
1. Particulars of Asst. Comm. of C.Ex &Cus. with whom bond is executed and his complete postal Address: The Asst.Comm. of C.Ex. & Cust.,Div. Makarpura, New Central Excise Building East Wing,390 023
Original (White)
Duplicate(Buff)
Triplicate(Pink)
Quadruplicate (Green)
Quintuplicate(Blue)
Extra(Yellow)
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*
Particulars of manufacturers of
goods and his Central Ex. Reg. No.
No. and Description
of Packages
Gross Weight/
Net Weight
Marks and Nos. on Packages Quantity of Goods Description of Goods Value
(Rs.)
Duty No. and Date of Invoice Under which duty was paid ? no. and date of bond/undertaking executed under Rule 19th Amount of Rebate Claimed

  Remarks

Rate (Rs) Amount (Rs).
1 2 3 4 5 6 7 8 9 10 11 12
MobileERP Softech P Ltd.(100% EOU),
E143 Vrundavan Township,
Harni Road.
BARODA - 390006.

ECC NO.
BIN NO. AAECS9430M FT001
PBW Lic.no.AR-V/EOU/49/SLPL/2001-2002/1748
Total Invoice Value:USD= 1,000.00  
Free On Board

Ex. Rate:1.00 USD=Rs46
1 GrossWt


NetWt
1 1

NOs
Parts of Valves

As per enclosure

46,000.00

46,000.00


( Fourty Six Thousand and Paise: Only/-)

10%
2% ED CESS
1% HIGHER ED CESS

4,600.00

92.00

46.00

4,738.00

( Four Thousand Seven Hundred Thirty Eight and Paise: Only/-)
SI/00006/2009-10 Export Invoice No
Date:10/12/2009 11:49:40

B/02/100%EOU/SAMEER/MKP/II/05 DTD 10.08.05 For Rs. 1,53,00,000.00 Accepted by the Ass./Dy. Commissioner of C. Ex. & Customs, Division-Makarpura
Not Applicable
GOODS REMOVED FOR EXPORT UNDER SELF-SEALING & SELF-CERTIFICATION PROCEDURE I HEREBY CERTIFY THAT THE GOODS HAVE BEEN SEALED IN MY PRESENCE  
3. We hereby certify the above mentioned goods have been manufactured.
     (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)


PART-A
CERTIFICATION BY THE CENTRAL EXCISE OFFICE
(1) Certified that duty has been paid by debit entry in the PLA No._____________ and/or CENVAT Account Entry No.____________ or recorded as payable in Daily Stock Account, on the goods described overleaf.

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)

(2) Certified that I have opened and examined the packages No.________________ and found that the particulars stated and the description of goods given overleaf and the packing list (if any) are correct and that all the packages have been stuffed in the Container No.__________ with Marks___________ and the same has been sealed with Central Excise Seal/One Time Seal (OTS) No. _________________

(3)  I have verified with the records, the expoter is only availing the export insentives as specified in box No.6 and found it to be true.

(4)  Certified that I have drawn three respective samples from the consigment (whatever necessary) and have handed over, two sets thereof duly sealed to the expoter/his authorised respective.
"Goods removed from exports without Central Excise sealing & examination"
 
Place:
Date : Signature Signature
(Name in Block Letters) (Name in Block Letters)
  Superintendent of Central Excise Inspector of Central Excise
 
PART-B
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).
OR
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).
OR
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 __________________
 
Place: Signature
Date : (Name and Designation of the Custom Officer in Block letters with Seal)
 
PART-C
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
Date :

(SEAL)

PART-D
REBATE SANCTION ORDER
(On Original, Duplicate and Triplicate)
Refund Order No.____________ Dated ____________ Rebate of Rs.__________ (Rupees_________________________________________) sanctioned vide Cheque No._____________  dtd. ________________
 
Place:

Assistant/Deputy Commissioner/Maritime

Date :

Commission of Central Excise

*Strike out inapplicable Portions