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Combined application for removal of goods for export under claim for rebate of duty paid on excisable materials used in the manufacture and packing of such goods and removal of dutiable excisable goods for export under claim for rebate of finished stage Central Excise Duty or under bond without payment of finished stage Central Excise Duty leviable on export goods - [See Rule 18/19 of the Central Excise Rules, 2002, read with Notification Nos. 21/2004-C.E. (N.T.) and 43/2001-C.E. (N.T.)]

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..... (Green)/Quintuplicate (Blue) Form A.R.E. 2 Combined application for removal of goods for export under claim for rebate of duty paid on excisable materials used in the manufacture and packing of such goods and removal of dutiable excisable goods for export under claim for rebate of finished stage Central Excise Duty or under bond without payment of finished stage Central Excise Duty leviable on export goods. To The Superintendent of Central Excise, (Address) ___________________ (full postal address) 1. Particulars of the Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise from whom rebate shall be claimed/with whom bond is executed and his complete postal address __________________. 2 .....

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..... (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) *Strike out portion not applicable **Quantity of goods to be furnished in units of sale where it is different than weight. #Write NA where exports are under bond/letter of undertaking in terms of Rule 19 or where goods are not chargeable to duty. TABLE 2 Details of duty paid on excisable Materials and Packing materials used in manufacture of export goods for which rebate under notification _________ dated _____ is being claimed S. No. Name/des-cription of materials/ packing with techn .....

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..... the total drawback ( Customs, Central Excise and Service tax component put together)* or (ii) we shall not claim any drawback as rebate of duty on diesel which has been claimed by us under rule 18 or diesel which has been procured by us under sub-rule (2) of rule 19 of the Central Excise Rules, 2002. * *strike- off whichever is not applicable] (e) I/We hereby declare that the above particulars are true and correctly stated. (f) We have been granted permission by Assistant Commissioner of Central Excise or Deputy Commissioner of Central Excise Vide C.No. __________ date __________ for working under Notification No. 21/2004-Central Excise (N.T.), dated the 6th September, 2004. Time of Removal _ .....

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..... rement and non-procurement of diesel under rule 18 or sub-rule (2) of rule 19 of the Central Excise Rules, 2002 as applicable, and found the same to be true. ] 4. Certified that I have drawn three representative samples from the consignment and have handed over two sets thereof duty sealed to the manufacturer/his authorised representative (wherever feasible). 5. Certified that the material consumption as indicated in Table 2 overleaf are in accordance with the declaration No. ________ filed by ________ on __________ Place : __________________ Date : __________________ Signature (Name in Block Letters) Inspector of Central Excise Signature (Name in Block Letters) Superintendent of Central Excise .....

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..... ided for indicating ARE 1. 4. Certified that the consignment was shipped under my supervision under *Shipping Bill No./Bill of Export No. ____________ dated _______________ which left for _________________ on _________________ which passed the frontier on ____________ Duplicate copy of A.R.E. 2 Forwarded to Assistant/Deputy Commissioner of Central Excise . on Place : Date : Signature (Name and designation of the Customs Officer in Block letters) (Seal) Note 5 : The customs shall send the duplicate to the address given at Sl. No. 1 overleaf and handover original and .....

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