Export - Statement regarding export of excisable goods without payment of duty to be submitted with renewal of UT-1

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..... of expiry : (5) Details of all removal of goods for export under the UT-1 referred above : Sl. No. ARE 1 No. Date Amount of duty involved Whether POE received? If yes, date of pass for shipment order by Customs Details of any short shipment of, if any Duty interest paid in .....

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..... I/We have submitted all documents for acceptance of proof of export to jurisdictional division office, in all cases where goods have been exported/ pass for shipment order received by me/us. (d) I/We am/are authorised to sign the above statement. Place : Date : Name Signature of the Assessee/Authorised Signatory .....

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