APPLICATION TO AVAIL THE FACILITY OF FILING EXCISE RETURNS ELECTRONICALLY

1.            Name of Assessee.

2.            Excise Control Code (15 digit Excise Registration No.)

3.            Category of Excise return presently filed: ER1/ER-2/ER-3/Dealer Return.

4.            E-mail Address:

5.            Postal Address:

(Please give a confidential e-mail address and the postal address to which the User Login ID, Password and the present Location Code of the jurisdictional range can be sent) The 15- digit ECC will serve as User ID.

6.            I/We request that I/We may be permitted to file my Excise Return electronically.

I/We declare that I/We satisfy the conditions of Trade Notice No…..Dated….and shall observe the instructions given therein. I/We undertake to indicate my/our 15-digit ECC in every challan used by me/us for remitting Excise duty in Banks.

If any difficulty is faced in filing the return electronically and getting an acknowledgement from the computer before the due date, I/We shall file manual returns as was done hitherto.

Date:

Place: