Central Excise Series No. 60

Central Excise Series No. 60-A

EXPORT UNDER VBAL/ QBAL/ OTHERS

A.R. 4 No. _________

Range_____________
Division__________ Address_____________
Collectorate___________________________

Original (White)
Duplicate (Buff)
Triplicate (Pink)
Quadruplicate (Green)
Quintuplicate (Blue)
Sixtuplicate (Yellow)

FORM A.R. 4

Application for removal of excisable goods for export by (Air/Sea/Post/Land)

To
Superintendent of Central Excise
___________________(Full Postal Address)

1. Particulars of Asstt. Commissioner of Central Excise/Maritime 3[Commissioner ofCentral Excise from whom rebate shall be claimed/with whom bond is executed andhis complete postal address.

2. I/We of propose to export the under-mentioned consignment to __________(Countryof destination) (by Air /Sea/Land/Parcel Post) under claim for rebate/bond.

Particulars of Manufacture Of goods and his Central Excise Reg. No.	No. and Description Of package	Gross weight/ Net weight	Marks and Nos. on Package	Quantity of goods	Description Of goods
(1)	(2)	(3)	(4)	(5)	(6)

Value Rs. P.	Duty		No. and date of Invoice Under which duty was paid/No. and date of bond executed under Rules13	Amount of Rebate claimed	Remarks
	Rate Rs. P.	Amt. Rs. P.
(7)	(8)	(9)	(10)	(11)	(12)

3. I/We hereby certify that the above-mentioned goods have been manufactured

(a) availing facility /without availing facility of Modvat credit under Rule. 57 A,Rule 57Q of Central Excise Rules, 1944.

(b) availing facility /without availing facility Under Rule 12(1)(b) of CentralExcise Rules, 1944.

(c) availing facility /without availing facility under Rule 13(1)(b) of centralExcise Rules, 1944.

4. I/We hereby declare that the export is in discharge of the export obligationunder a Quantity based Advance Licence/Value based Advance Licence/Under Claimof Duty Drawback under Customs & Central Excise Duties Drawback Rules, 1971.

5. I/We hereby declare that the above particulars are true and correctly stated.

Time of Removal _______________

Signature of owner or his authorised
agent with date.
Name in Block Letters & Designation

SEAL

PART A

CERTIFICATION BY THE CENTRAL EXCISE OFFICER

1. Certified that duty has been paid on the goods described overleaf by debit entry in the Personal Ledger Account No ______________ /RG 23A (Pt. II) No ______________ /RG 238 (Pt. II) No against Excise Invoice No _________________ dated ____________________ /that the owner has entered into Bl/B16 bond No __________________under Rule 13/14 of Central Excise Rules, 1944with the ___________________ .

2. Certified that I have opened and examined the packages No _____________ and found that the particulars stated and the description of goods given overleaf read with the invoice and the packing list (if any) correct (and that all the packages have been stuffed in the containerNo _____________ with Marks ______________) and the same has been sealed with Central Excise Seal/One Time Seal (OTS) No ________________.3. I have verified with the records, the certificate of the owner given in SI. No.3 overleaf regarding non-availability of benefits under rule 57 A, 57Q 12(1) (a}, 13(1) (b) and found it to be true.

4. Certified that I have drawn three representative samples from the consignment and have handed over, two sets thereof duly sealed to the exporter /his authorised representative.

Place ______________ Date _______________

Signature                                                 Signature(Name in Block Letters)                                   (Name in Block Letters)Superintendent of Central Excise                          Inspector of Central Excise

PART B

CERTIFICATION BY THE CUSTOMS OFFICER

1. Certified that the consignment was shipped under my supervision under Shipping Bill No. ______________ dated _____________. by S.S./Flt. No. which left on the ____________. day of 19___________ .

OR

Certified that the above mentioned consignment has been duly identified and has passed theland frontier today _________at in its original condition under Bill of Export No_____________.

Place: _____________
Date : _____________

Signature
(Name and designation of the Customs
Officer in Block Letters)

(Seal)

NOTE:- The customs officer shall send the duplicate to the address given at SI. No.1overleaf and hand over original and Sixtuplicate to the exporter.

PART C

EXPORT BY POST

Certified that the consignment described overleaf has been despatched by foreign post to_______________ on _____________ day of _____________19_________.

Place: ______________
Date : ______________

Signature of Post Master

(Seal)

PART D

REBATE SANCTION ORDER

(On Original, Duplicate and Triplicate)

Refund Order No _________ dated _____________ Rebate of Rs___________ (Rupees__________)sanctioned vide cheque No.___________dated. ______________

Place: ______________
Date : ______________

Assistant Commissioner/ Maritime
Commissioner of Central Excise.

Strike out inapplicable portions.

Central Excise Series No.61
Central Excise Series No.62 -FORM AR 53
Central Excise Series No. 62-A -FORM AR 64
Central Excise Series No. 62-B -FORM AR75
Central Excise Series No. 62-C -FORM AR 86
Central Excise Series No. 62-CC -FORM AR 8A7
Central Excise Series N 0. 62-CCC


Monthly abstract of P.L.A./R.G. 23

Sl. No.	Descriptions	P.L.A.				R.G. 23				Total
		Basic	Additional	Cess	Basic	Basic	Additional	Auxiliary	Cess	Basic	Additional	Auxiliary	Cess	Total
1	2	3	4	5	6	7	8	9	10	11	12	13	14	15

1. Opening balance at the beginning of the month/period
   
   
2. Deposit by direct cash/cheque.
   
   
3. Credit on account of proforma credit and rebate
   
   
4. Total
   
   
5. Debits during the month/period.
   
   
6. Closing balance.
   
   

I/We declare that I/we have compared the above particulars with the records and booksof my / our factor /warehouse and that the same are correctly stated.

Signature of assessee or his authorised agent.

NOTES:

1. Separate return should/be prepared for each Tariff Item. Entries in the returnshould be according to openings in R.G.1 unless directed otherwise by theCollector by a general or special order. If within the same item or sub-item Ithere are different rates of duty fixed by exemption notification (includingpartial and total exemption) and/ or different Classification Code numbers havebeen provided rate-wise/Code number-wise break up should be given in the return.

2. In the case of ad valorem duties, separate entries should be made in respect ofexcisable goods assessable on the basis of tariff value where prescribed andthose assessed on value under Section 4 of the Central Excise Act, 1944.

3. Goods removed at NIL rate of duty by virtue of an exemption notification shallbe shown under column 10 (i)or 10(ii), as the case may be.

4. Goods removed for industrial use under Chapter X, whether exempted wholly orpartly shall be shown under column 10(i) or 10(ii), as the case may be.

5. In the case of removal on payment of duty where duty is determined on the basisof Tariff value, the tariff value and invoice value (excluding duty and other taxes) of goods so removed shall be shown under columns 14(ii) and 14(iii) respectively.

6. In the case of removal on payment of duty where duty is determined on the basisof specific rates, the invoice value (excluding duty and other taxes) of goodsso removed shall be shown in column 21.

7. Column 8(a) should indicate quantity of goods received 1without payment for dutyin a warehouse/factory. Receipt of tobacco on T.P 3 in a cigarette factory / tobacco warehouse may also be included in the quantity shown in column 8(a).

8. Separate entries for basic and other duties should be made on different horizontal lines (one below the other) in columns 15,16,17,18 and 19 and amounts totalled for each entry.

9. Where goods are removed both under G.P. 1 and G.P. 2 serial number of such Gate Passes should be shown separately in column 20. Where the number of such Gate Passes in large, separate annexure showing the serial numbers of G.P. 1 and G.P. 2 shall be appended.

10. Where an assessee has been exempted from maintaining Personal Ledger Account, the articulars relating to the deposits etc. of duties shall be shown in columns 2 to 14 under the "Monthly Abstract of P. L.A./R.G. 23".

11. Adjustment of amount in P.L.A. shall be shown against entry at item (ii) or (v),as the case may be, under the "Monthly Abstract of P. L.A. /R.G. 23".

12. Quantity produced out of goods received under Rule.56B which is to be removeddirectly from the receiving factory for home consumption or for export, shouldbe Included In column (7) as quantity manufactured.