Pass Out Document - For removal of Liquid gases in terms of rule 8

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..... emsp; 4. Range : ___________Division : _______ Commissionerate _____________ 5. Date of Removal __________________ Time of Removal_________________ PART-I (1) Description of the goods and its Tariff Sub-Heading No. (2) Lorry Tanker Registration No. (3) Gross Weight of the loaded tanker at the time of dispatch Kg. M3 (4) Tare Weight of Lorry Tanker Kg. (5) Net Weight of goo .....

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..... lost in transit & other losses, if any Kg.   M3 I/we hereby solemnly declare that information above is true and correct in all respects. Signature of the Registered person or his authorised agent   (iii) Undertaking I/We am/are taking clearance of the aforesaid goods under special procedure as per Principal Commissioner of Central Excise or Commissioner of Central Excise, as .....

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