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GOVERNMENT OF INDIA
MINISTRY OF FINANCE
(DEPARTMENT OF REVENUE)
***
Notification No.15/2011-Central Excise (N.T.)
New Delhi, dated the 30th June, 2011
[See rule 12 of the Central Excise Rules, 2002]
[To be submitted by the assessee falling under sixth proviso to rule 12(1) of the Central Excise Rules, 2002]
Return of excisable goods cleared @ 1% duty for the quarter
From : MMMYYYY To: MMMYYYY
1. Registration number .-
2. Name of the Assessee
.-
3. Details of the manufacture, clearance and duty payable.-
S. | CETSH NO. | Descript | Unit | Serial | Openin | Quantity | Quantity | Closing | |||||||
No | ion of | of | number of | g | manufact | cleared | balance | ||||||||
. | goods | quant | Notificatio | balance | ured | ||||||||||
ity | n | ||||||||||||||
no.1/2011 | |||||||||||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) | (9) | |||||||
Assessable | Excise | Education cess & | Total |
Value (Rs.) | duty | Secondary Education | Duty |
payable | Cess (2%+1%) | payable | |
@ 1% | |||
(10) | (11) | (12) | (13) |
4. Details of duty paid on excisable goods:
Duty code | Amount | Challan | Bank | Branch | |||||||||||||||||||||||
(Rs.) | No. | Date | code | Code | |||||||||||||||||||||||
(1) | (2) | (3) | (4) | (5) | (6) | ||||||||||||||||||||||
CENVAT | |||||||||||||||||||||||||||
Edu. Cess & | |||||||||||||||||||||||||||
Sec & Higher | |||||||||||||||||||||||||||
Education cess | |||||||||||||||||||||||||||
Total duty paid | |||||||||||||||||||||||||||
5. Details of other payments made: | |||||||||||||||||||||||||||
Payments | Amount | Challan | Date | Bank | Branch | Remarks | |||||||||||||||||||||
(Rs.) | Code | code | |||||||||||||||||||||||||
No. | |||||||||||||||||||||||||||
(1) | (2) | (3) | (4) | (5) | (6) | (7) | |||||||||||||||||||||
Other payments | |||||||||||||||||||||||||||
(Specify) | |||||||||||||||||||||||||||
6. Self- assessment memorandum:
- I hereby declare that the information given in this Return is true, correct and complete in every respect and that I am authorised to sign on behalf of the assessee.
- During the quarter, total Rs. ________________ was deposited vide GAR7 Challans (copies enclosed).
- During the quarter, invoices bearing S.No._______ to S.No. _______ were issued.
Date:
Place:
(A) Name and signature of Assessee or
Authorised Signatory
ACKNOWLEDGEMENT
Return of excisable goods cleared @ 1% duty for the quarter
From : MMMYYYY To: MMMYYYY
D | D | M | M | Y | Y | Y | Y |
Date of receipt
Name and Signature of the Range Officer with
Official Seal
INSTRUCTIONS
- Indicate the 15-digit PAN based registration number and the name as appearing in the Registration Certificate.
- In case more than one item is manufactured, additional row may be inserted in each table, wherever necessary.
- In case the goods are cleared for export under Bond, the details of clearance may be mentioned separately.
- 8-digit CETSH Number may be indicated under the column CETSH.
- Wherever quantity codes appear, indicate relevant abbreviations as given below.
Quantities | Abbreviations | Quantities | Abbreviations | ||||
Centimetre(s) | cm | Metre(s) | m | ||||
Cubic centimetre(s) | cm3 | Square metre(s) | m2 | ||||
Cubic metre(s) | m3 | Millimetre(s) | mm | ||||
Gram(s) | g | Metric tonne | mt | ||||
Kilogram | kg | Number of | pa | ||||
pairs | |||||||
Kilolitre | kl | Quintal | q | ||||
Litre(s) | l | Tonne(s) | t | ||||
Thousand in | Tu | Number | u | ||||
number | |||||||
- In the column (8) of Table at serial number 3, the assessable value means,
- where goods attract ad valorem rate of duty, the value under section 4 of Central Excise Act, 1944 (1 of 1944);
- where goods are covered under section 4A of the Act, the assessable value as worked out under MRP after allowing deductions as provided under section 4A of the Act;
- in case of goods for which the tariff value is fixed, such tariff value;
- in case of exports under Bond, the ARE-1/ARE-2/invoice value.
- Details of any other payments like arrears, interest etc. may be mentioned in serial number 5
[F. No. 341/22/2011-TRU]
(Sanjeev Kumar Singh) Under Secretary to the Government of India