Annexure-11

AC-1 [Rule 17(2)]

Commissionerate …………………….

Division ……………………………….

Range …………………………………

 

Name and Address of the Unit ……………………………………….

Date

Descripti on of goods

Opening balance

Quantity manufact ured

Total

Quantity cleared

Invoice number and date

Closing balance

Duty paid

Remar ks

To domestic Tariff Area

For Export

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

 

 

 

 

 

 

 

 

 

 

 

 

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