ANNEXURE-I
No.--------------- Date-------------
FORM C.T.3

Certificate for removal of excisable goods under bond
This is to certify that:

1. Mr./Messrs------------------------(Name and address) is/are bona fide licensee holding licence No.--------------- valid upto ---------------------

2. That he/they has/have executed a bond (General Surety/General Security.

3. No.--------------------- date-------------------- for Rs.-----------------with the Assistant Commissioner/ Deputy Commissioner of Custom or Central Excise ---------------------- and as such may be permitted to remove -----------------------(quantity) of ------------------(excisable goods) from the unit at --------------------------- to their undertaking -------------- at--------------------------

4. that the specimen signatures of his/their authorised agent namely Shri ---------------are furnished herebelow duly attested;

Specimen Signature Sd/- Central Excise Officer- In-charge of
Owner or his authorised Agent Attested the unit in Special Economic Zone