Form-A
(See rule 12)
1. Name and address of the assessee / manufacturer :
2. PAN :
3. Range ________Division_______________Commissionerate________________
4 Period of return : Quarter ending _______________________
5. Details of the manufacture and removal of goods under Notification No. 49/2003-CE dated the 10th June, 2003 or Notification No. 50/2003-CE dated the 10th June, 2003 (Tick whichever is applicable):We do not mediate buying, selling of products or services.
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