ANNEXURE – A

FORM CT- 3

No.________________                                                                                                          Date_________

FORM CT- 3

Certificate for removal of excisable goods under bond

This is to certify that :

Mr./Messrs ……………..(Name and address) is/are bona fide licensee holding licence

No……..valid upto…………….

That he/they has/have executed a bond in Form B-17 (General Surety/General Security)

No………date………for Rs…………. with the Proper officer of Central Excise or Customs or

Deputy Commissioner of Central Excise or Customs ……..and as such may be permitted to

remove….. (quantity) of ……………(excisable goods) from the unit at ……….to their

undertaking ………….at……………………

That the specimen signatures of his/their authorised agent, namely, Shri……………….are furnished

here below duly attested.

Specimen Signatures                               Sd/-                                     Central Excise Officer in charge of the

of the owner or his                               Attested                                export oriented undertaking / Electronic

Authorised agent                                                                                  Hardware Technology Park (EHTP)