ANNEXURE 43C
Application for refund of CENVAT credit under rule 5 of the CENVAT credit Rules, 2002
(Refund relating to quarter or month- )
To,
The Deputy/Assistant Commissioner of Central Excise,
Sir,
I/We have exported under-mentioned quantity and description of the goods to ___________ . A copy of the relevant Bill of Lading, Shipping Bill or Export Application is also attached. I/We am / are not in a position to utilize the CENVAT credit of duty paid on inputs allowed under rule 3 of the CENVAT credit Rules, 2002, in respect of final products exported under bond during the quarter or month ______________. I/We request that refund of this credit may be granted.
1. Particulars fo the goods exported.
(i) Full description of the goods.
(ii) Full description of the inputs going into such exported products and credit availed of in respect of such inputs under rule 3,
2. relevant extracts of the records maintained under the CENVAT Credit Rules, 2002 or the deemed credit register maintained in respect of taxtile fabrics, as the case may be, in respect of such input duty credit.
3. Number and date of Bill of Lading or Shipping Bill or Export application.
4. Amount of refund claimed.
I/We certify that the aforesaid particulars are correct and I/we am/are the rightful claimant(s) to the refund of excise duty due thereon which may be allowed in my/our favour.
I/we undertake to refund, on demand being made, within six months of the date of payment any refund erroneously paid to me/us.
I/We declare that no separate claim for rebate of duties in respect of excisable materials used in the manufacture of the goods covered by this application has been or will be made under the Customs and the Central Excise Duties Drawback Rules, 1971 or under claim for rebate under the Central Excise Rules, 2002.
I/We declare that we have not filed/will not file any other claim for refund under rule 5 for the same quarter or month to which this claim relates.
Signature and full address of the claimant(s)
Refund Order No. ________________
Date __________________________
The claim of Shri/Messrs ______________________ has been scrutinized with the relevant Bill of Lading or Shipping Bill or Export application and refund of Rs. ___________________ (Rs.___________) is sanctioned.
Date______________
Deputy/ Assistant Commissioner of Central Excise _____________
Forwarded to-
1. The Chief Accounts Officer, Central Excise, for information and necessary action.
2. The Commissioner of Central Excise ________________
Date ___________________
Deputy / Assistant Commissioner of Central Excise _______________
Passed for payment of Rs. ___________________ (Rs. _______________). The amount is adjustable under Head "038-Union Excise Duties- Deduct Refunds".
Date_____________
Chief Accounts Officer
Cheque No. ______________ dated _____________ issued in favour of Shri/ Messrs ___________________ for Rs. ______________ (Rs.___________).
Date_____________
Chief accounts Officer
Received Cheque
Rs. _________________________ (Rs. _____________________).
Dated___________________ | No. _________________________dated ____________________ for
Signature of claimant |