Annexure-19
Statement
Regarding Export of Excisable goods
Without payment of
duty
(Rule 19)
Original
Duplicate
Statement for the
month of ________, 2___.
5. Name of the Assessee:
6. Registration No.:
7. Address:
8. Details of Excisable goods manufactured and exported,
proof of export, duty payment if case proof of export is not available within
statutory time limit (Part-I to IV): -
Part-I
Details of
removals for export in the current month
Serial No. |
A.R.E. 1 Number
and date |
Amount of duty |
Debit serial No.
in bond account with date |
Entry No. in
Daily Stock Account |
Whether proof of
export received? If, yes, date of ‘Pass for Shipment Order’ by Customs |
Details of any
shortshipment and adjustment on bond account |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
Total Credit admissible: [Total of Column 3 minus duty on
goods short-shipped (total of duty in column 6)]___________________ (To be
filled only where bond is furnished)
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