For
claiming Duty Drawback on All Industry Rates/Fixation of Drawback Rates/Refund of
Terminal Excise Duty.
(Please state ‘Not Applicable’ wherever the information is not applicable to you
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2. Applicant Details
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i.
Name
ii.
Address
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3. RCMC Details
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i. RCMC
Number
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ii. Date
of Issue
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iii.
Issuing Authority
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iv. Valid
upto
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v. Products
for which registered
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4. Type of Exporter (please tick)
( √ )
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i. Merchant
Exporter
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ii. Manufacturer
Exporter
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iii.
Service Provider
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iv. Others
(please specify)
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v. Merchant
cum Manufacturer
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5 Excise Details
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i. Excise
Registration Number
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ii. Issuing
Authority
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6 Excise Payment Details
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i. Excise
Duty Paid in the last FY (Rs)
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ii. Excise
Commissionerate
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7 Details of products supplied
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i. Description
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ii. Technical
Characteristics
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iii.
Net Weight of the product supplied per unit
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iv. Serial
No of All Industry Rate in Drawback Schedule
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v. All
Industry Drawback Rate in Drawback Schedule
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vi. Central
Excise Tariff Chapter / Heading under which classified
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vii.
Rate of Central excise Duty payable on product supplied
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viii.
Current FOR prices of product supplied
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ix. Total
Production value of the product supplied in the preceding three years
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8 Mode of Supplies (please tick)
(√ )
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i.
Under Central Excise Bond
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ii. After
payment of duty under claim of rebate of Central Excise Duty
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iii.
Otherwise
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9
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i.
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Whether in respect of
any of raw material/components the benefits under Rule 18 & 19 of Central Excise
Rules, 2002 or any other Central Excise Rules is being availed of?
Yes/No
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ii
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If so the details thereof in respect of each input/raw material:
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10
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i.
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Whether in respect of
any of raw material/components CENVAT benefits under Rule 3 of CENVAT credit Rule,
2004
of Central Excise Rules is being availed of?
Yes/No
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ii.
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If so the details thereof in respect of each input/raw material:
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11.
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i.
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Whether any declaration
has been filed in terms of Rule 57(g) (1) of Central Excise Rules for availing CENVAT
benefits under Rule 3?
Yes/No
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ii.
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If so, details of inputs for which such benefit claimed
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12
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i.
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Whether any other benefit
under any of the Customs and/or Central Excise Notification is being availed of
in respect of the raw material, components and other inputs used in the product
supplied?
Yes/No
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ii.
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if so, the details thereof
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13.
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i.
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Whether in respect of
the imported material benefits of Duty Exemption Scheme are being availed of?
Yes/No
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ii.
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If so, the Licence details
may be furnished:
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iii.
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File Number of Advance
Licence wherein Drawback claim declaration has been filed:
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14
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i.
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Whether in respect of
the imported material, manufacture under Bond procedure in terms of Section 65 of
Customs Act, 1962 is being followed?
Yes/No
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ii.
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If so, the details thereof
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For Fixation of Duty Drawback rates
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15. Please tick whichever is applicable
(Ö)
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i.
Under Rule 6 (1) (a) of Drawback
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ii. Under
Rule 7 (1) of Drawback
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16.
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Drawback
rate or amounts expected (enclose working sheet in support thereof):
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17.
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In case the application
is for fixing of Brand Rate under Rule 7(1) of Drawback Rules, is the rate indicated
in Serial No 1 (v)
less than four-fifth of the rate indicated in serial 10
above.
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18.
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In case the
application is for fixing of Brand Rate under Rule 6 of Drawback Rules, is the rate
worked out as at serial 10 above more than 1% of FOR value, if so the percentage
of Drawback rate expected to FOR value
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19.
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Is
the FOR value with regard to each item in the Supply Invoice less than the value
of all imported materials used in the manufacturing of such goods?
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20.
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If
not, what is the percentage of value addition against each entry in the Supply Invoice.
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21.
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Brief Process
of Manufacture (enclose catalogue/literature etc. of the items of import)
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For Refund of Terminal Excise Duty
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22.
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i.
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Central
Excise Tariff Chapter/Heading in which classified
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ii.
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Rate
of Central Excise Duty payable on the product supplied
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23.
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Central excise attested invoices with corresponding ER-1/ER-3
showing amount of
Terminal Excise Duty paid
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DECLARATION / UNDERTAKING
1.
I/We hereby declare that
the particulars and the statements made in this application are true and correct
to the best of my / our knowledge and belief and nothing has been concealed or held
there from. If found incorrect or false, it will render me / us liable for any penal
action or other consequences as may be prescribed in law or otherwise warranted.
2.
I/We undertake to abide
by the provisions of FT(D&R) Act, the Rules and Orders framed there under, the
FTP, HBP v1, HBP v2 and the ITC(HS) Classification of Export & Import Items.
3.
I / We hereby certify
that none of the Proprietor/ Partner(s) / Director(s) / Karta / Trustee of the firm
/ company, as the case may be, is / are a Proprietor / Partner(s) / Director(s)
/ Karta / Trustee in any other firm / Company which has come to the adverse notice
of DGFT.
4.
I/We hereby certify that
the Proprietor/Partner(s)/Director(s)/Karta/Trustee, as the case may be, of the
firm/company is/are not associated as Proprietor/Partner(s)/Director(s)/Karta/Trustee
in any other firm/company which is in the caution list of RBI.
5.
I/ We hereby declare that
I/we have perused the list of SCOMET items as contained in the Appendix 3 to the
Schedule 2 of the ITC (HS) Classifications of Export-Import Items, 2004-09 and that
the item(s) exported / proposed to be exported does not fall within this list and
that I/ We agree to abide by the provisions of the Policy for export of SCOMET items
contained in the Foreign Trade Policy, Schedule 2 of ITC (HS) and the HBP v1, irrespective
of the scheme under which the item is exported / proposed to be exported (the underlined
portion will be deleted in case an application for export license for SCOMET item
is being filed).
6.
I / We hereby declare
that no export proceeds are outstanding beyond the prescribed period as laid down
by RBI or such extended period for which RBI permission has been obtained.
7 I/we further declare that I/we shall immediately refund the
amount of drawback obtained by us in excess of any amount/rate which may be re-determined
by Government as a result of post verification.
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8 I/we further declare that the goods supplied are not
excisable/Goods are excisable but CENVAT/rebate facility is not available to the
recipient of goods
9
I hereby certify that I am authorised to verify and sign this declaration as per
Paragraph 9.9 of the FTP.
Signature of the Applicant
Place
Name
Date
Designation
Official Address
Telephone
Residential Address
Email Address
GUIDELINES FOR APPLICANTS
For Duty
Drawback on All Industry Rates/Fixation of Drawback Rates/Refund of Terminal Excise
Duty
1.
Bank Receipt (in duplicate)/Demand Draft/EFT details
evidencing payment of application fee in terms of Appendix 21A.
2.
In case of Refund of Terminal Excise Duty/Duty Drawback
a.
Supply invoices certified by
Central excise. In case of 100% EOUs/STP/EHTP
units, complete
ARE
-3/supply invoice certified by the bond officer is to be
furnished.
b.
Payment certificate
issued by the Project Authority as per Appendix 22C. For supply to EOU units the
certificate to be given regarding receipt of payment through normal banking channel
in the form given in Appendix- 22B. However, in respect of supplies under paragraph
8.2 (d), (e), (f), (g) and (j), wherever eligible for refund of TED, if the applicant
is not able to furnish payment certificate, he may alternatively furnish the copies
of the excise invoices showing the receipt of the material by the Project Authority
duly countersigned by the authorised person for this purpose as given in note (3)
of Appendix–27, in lieu of payment certificate.
c.
Photocopy of complete
A.R.O./Back to Back LC
d.
Photocopy of the purchase
order/L.O.I/contract (self certified).
e.
Original input
stage invoices with corresponding
ER-1/ER-3 duly certified by Central excise authorities showing
the Terminal excise duty paid.
f.
In respect of supplies
under paragraph 8.2(d), (e) (f) (g) and (j), the applicant shall furnish a copy
of the project authority certificate as given in Appendix-27.
3.
Additional documents to be submitted wherever brand rate of duty drawback is being
claimed:
a.
DBK I duly certified
by a Chartered Engineer in the format given in Appendix 35
b. DBK II, IIA, III &
III-A, duly certified by a Chartered Accountant along with self certified non-availment
of CENVAT credit
c. Photocopies of Bill of
Entries along with relevant Import Invoices.
d.
Original input invoices with corresponding
ER-1/ER-3 duly certified by Central
excise authorities showing payments of excise duty in support of the details shown
in DBK-III and DBK-IIIA in the format given in Appendix 35.
Note:
In case of public sector undertaking, the
DBK statements may be signed/ certified by the Head of Production and Head of Finance
department.