ANNEXURE 70

Application for permission / extension of permission to work under Rule 16B of Central Excise Rules, 2002

(PART I)

GENERAL INFORMATION
COMMISSIONERATE :
DIVISION :
RANGE :

1. Date of Application
2. Name of the Applicant and address of the Factory
3. R.C. No.
4. Description of the Commodity in respect of which permission is requested with Central Excise Tariff Item (8-digit)
5. Whether the application is made for the first time or for extension of permission already granted; in case of application for extension of permission, please state the number of extensions availed so far specifying the periods.
6. Nature of processing involved (A separate sheet may be added if necessary)
7. Duration of processing period and return of the processed goods
8. Whether such processing facility is lacking/ inadequate in the applicants factory
9. Whether the absence of such facility is of temporary nature
10. Whether the particular type of process, for which semi-finished goods are intended to be sent outside, cannot be conducted in the same factory on expiry of the temporary permission, if granted. If so, brief reasons thereof
11. Whether there is a possibility of transit loss; if so quote the percent of transit loss
12. Whether the semi-finished goods are in the nature of raw material
13. Whether a new product may emerge out of processing, with distinct name/ identity/ character or use, different from that of the original product out of which it is manufactured / processed
14. Whether the Tariff Classification of semi-finished goods is likely to change after processing
15. Whether after processing, the processed goods willbe returned to the factory of origin or otherwise
16. Name(s) of the recipient Manufacturers / Processors and Address(es) with details of processing work entrused
17. Whether the recipient Processor(s) is/ are registered with Central Excise Department; if yes, furnish R.C. No, Range Name, Division Name, Commissionerate Name under whose jurisdiction such Processor(s) is / are falling.
18. Any other relevant information.

It is certified that, the information furnished above is true and correct to the best of my knowledge.

We/ I hereby undertake to pay appropriate Central Excise Duty, along with the interest payable, if any, as per the provisions of Central Excise Act, 1944 and the Rules made thereunder, on the goods cleared for job work in case of transit / processing loss or in case the goods are not received back within the stipulated processing period of 180 days.

Place :
Date :

Signature of the Assessee

(PART II)
(To be completed by the Superintendent of Central Excise in Charge of the Range)

1. The period for which the permission is recommended and whether in case of expiry of the said period the Applicant will be able to arrange for the facility for conducting the process(es) within the factory
2. In case of application for extension of permission -
(a) Whether the applicant has maintained proper accounts of semi-finished goods sent for processing and processed goods are received back
(b) If not, action taken thereon
(c) Whether any misuse has been noticed on the part of the Applicant while operating under the Rule 16B permission already granted
3. Whether the applicant/processor(s) is/ are involved in Central Excise offence at any time; if so state the nature of offence)
4. General Remarks

Signature of Range Superintendent

Date

(PART III)
(To be completed at Divisional Level)

1. Whether the applicants request deserves consideration for grant of permission / extension of permission
2. General Remarks

Signature of Divisional DC / AC

Date: