FORM ‘A’
(See paragraph 3 of the Appendix)
Application for refund of CENVAT credit under rule 5 of the CENVAT
Credit Rules, 2004
(Refund relating to the given period i.e. quarter or month ________)
To
The Deputy Commissioner / Assistant Commissioner of Central Excise,
Sir,
I/We have exported, the final products or output services of under-mentioned description, value, quantity to _________ during the given period. I/We am/are not in a position to utilize the CENVAT credit of duty/service tax taken,-
(a) on inputs or input services used in the manufacture of final products cleared for export under bond or letter of undertaking;
(b)on input or input services used in providing output services exported without payment of service tax, and such credit being allowed under rule 3 of the CENVAT Credit Rules, 2004, for payment of duty in respect of final products cleared for home consumption or for export on payment of duty or for payment of service tax on output services during the given period. I/We request that refund of such credit for the given period may be granted. The following particulars/enclosures are being provided/enclosed by me/us for this purpose.We do not mediate buying, selling of products or services.
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