Application for supplementary claim for drawback under Rule 15 of Customs and Central Excise Duties Drawback Rules, 1995

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..... t, application for supplementary claim of drawback should be made in the following form) To The [Assistant Commissioner] of Customs-in-Charge] Drawback Department. We hereby make a supplementary claim for drawback of Customs/Central Excise which has been less paid to us as explained herein. 1. Exporter (a) Name (b) Address (c) Telephone No. (d) Name of Clearing Agent. 2. Goods exported .....

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..... erein is true and correct. Signature __________________ Designation ________________ *Please enclose copy of communication regarding rate of drawback determined under rule 6 or 7, any other document in support of supplementary claim, or other documents as may be prescribed by [Principal Commissioner of Customs or /Commissioner of Customs, as the case may be]. Please also enclose calculation she .....

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