REGISTER FOR MAINTENANCE OF CONSUMPTION AND STOCKS OF IMPORTED RAW MATERIALS/COMPONENTS ETC BY THE ACTUAL USERS

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..... OR DOMESTICALLY PROCURRED RAW MATERIALS, COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION/DFIA* INPUTS ALLOWED IN THE AUTHORISATION (S) (A NO. OF AUTHORISATIONS*** CAN BE CLUBBED TOGETHER FOR THE PURPOSE OF ACCOUNTING OF INPUTS) PRODUCT (S) EXPORTED UNDER THE AUTHORISATION (S) EXCESS INPUTS, IF ANY ALLOWED UNDER THE AUTHORISATION(S). .....

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..... 5 6 7 8 9 10 11 12 13 * In case of Post export replenishment, details of inputs used (whether duty paid or not) in the exported product has to be furnished. **Applicable only in case either partial import or NIL import has been ef .....

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..... number .for the licensing period(s) and hereby certify that the information furnished above is true and correct in all respects; no part of it is false or misleading and no relevant information has been concealed or withheld; I/We fully understand that any statement made in this certificate, if proved incorrect or false, will render me/us liable to face any penal action or ot .....

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