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Application for filing a claim of rebate of service tax and cess paid on taxable services exported

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..... cise ..(full postal address). Madam/Sir, I/We ..,(name of the person claiming rebate) holding service tax registration No. , located in . (address of the registered premises) hereby declare that I/We have exported service (name of the taxable service) under rule 5 of the Export of Service Rules, 2005 to (name of the cou .....

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..... e claim : Date of sanction of the rebate claim : Amount of rebate claimed: Rs. Amount of rebate sanctioned: Rs. If the claim is not processed within 15 days of the receipt of the claim, indicate briefly reasons for delay: Place: Date: Signature of the Assistant Commissioner/ Deputy Commissioner of Central Exci .....

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