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ANNUAL FINANCIAL INFORMATION STATEMENT - [See rule 12(2)(a) of the Central Excise Rules, 2002]

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..... turing on which CENVAT credit availed (value as per purchase invoice or import document excluding all taxes). Rs (b) Total value of inputs including packing materials used for manufacturing on which Cenvat credit not availed. Rs (c) Value of raw material including packing material and components consumed as per Profit and loss account. Rs (ii) Value and quantity of each major raw material consumed in the manufacture of goods # . (a) Description of raw material.................... Raw Material A Quantity (Please specify the unit a .....

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..... ugh job worker? Yes/No (b) If yes, whether any raw material/inputs are supplied to job worker? Yes/No (c) Whether any raw material/inputs are used by the job worker which are not supplied by the assessee? Yes/No (d) Total amount paid by the assessee to job worker. Rs. . 4. Details of Income : (i) Total Sales value (Gross) as per Profit Loss account Rs (ii) Value and quan .....

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..... Rs (vi) Value of goods exported under claim for rebate Rs (vii) Total value of sale of waste and scrap. Rs .. (viii) Value of inputs on which CENVAT credit has been availed and cleared as such : (a) On payment of amount equal to the credit (a) availed. .....

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..... Pre-delivery inspection charges 5. Product development, Drawing, design and development charges 6. Transportation charges received 7. Erection Commissioning charges received 8. Technical, Engineering, Consultancy etc. charges received 9. Other receipts/income {excluding (1) to (8) above} (xi) Total Other income as per Profit and Loss Account. .....

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..... same are true and correct to the best of my/our knowledge. (ii) I/we am/are authorized to sign this return. (Name in capital letters and signature of the assessee or authorized signatory) Place : Date : Note : # To be given separately and distinctly for each major raw material consumed on the lines of Sl. No. 3 (ii) (a) (1) of Part II of the Schedule VI pertaining to section 211 of the Companies Act, 1956 (1 of 1956), i.e. each such raw material which in value independently accounts for 10% or more of the total value of the raw materials consumed. * other exp .....

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