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Format for Fixation of Drawback Rate

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..... Sale Price of waste per unit of Qty By Product/ co-product Net wt. of the material Remarks Qty. Sale value per unit 9 10 11 12 13 Give convenient units by which goods are invoiced for supply (e.g. per ton, per dozen/Pcs., per Sq. meter etc). Notes:- 1. The Units of quantity to be furnished in Col.5 should be given in such a manner that it could be related to DBK-II Statement. 2. Maintenance stores/materials such as lubricating oil, greases, fuel etc. which are employed to run the machinery and plant should be excluded. 3. The data for packing materials should be for the same unit quantity for which data for export product for raw materials and components have been given. 4. Only those raw materials/components etc. to be indicated for which proof of payment of Customs duties is shown in DBK-II. Details of such inputs ne .....

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..... date under which imported Name of the Customs House Unit Qty. imported originally Assessable value 1 2 3 4 5 6 7 8 9 Heading No. in Customs Tariff Act, 1975 Rate of duty Country from which imported and name of supplier Is assessment final Basic custom duty Name and full address of the supplier in case the foreign material/ Components obtained locally Remarks 10 11 12 13 14 15 16 Notes: .....

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..... 11 12 13 14 15 16 17 Note:- 1. In this statement furnish details of stock of all the imported inputs mentioned in statements II which were in stock 3 months prior to the date of supplies of the final product and how these were imported/procured. (Actual stock to be given under Col.16, with procurement details in other Columns). 2. If the assessment for any of the inputs in stock as shown is not final, the nature and current status of dispute may be clearly indicated. (Normally no DBK for provisionally assessed B/E are admitted). 3. Refund applications made if any for procurement shown in stock with details to be indicated. 4. Photocopies of all Bills of Entries mentioned above must be enclosed. CERTIFICATE REQUIRED FOR DBK II A STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in .....

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..... ted for which proof of payment of Customs/Central Excise duties is shown in DBK-II/III. Details of such inputs need not be given where no benefit of duty paid is claimed because of MODVAT or absence of proof of duty. Only a brief mention of such inputs being used would be sufficient. Certificate Required For DBK -I Statement I. On behalf of the applicant, I hereby certify that the materials as mentioned above are actually required and being used for production of export product. Signature _________________ (Name Designation of the Chief Executive/Production incharge (with seal.) Station _____________ Date:--------------------- II. It is certified that (To be given by an independent Chartered Engineer/cost Accountant): a) The consumption of various materials shown in DBK-I has been examined by us and these are actually required and being consumed in the factory of production for manufacture of export product supplied as checked by us on verification of the production process and relevant technical and related documents; b) The imported materials above shown in DBK-I are being actually used in the manufacture of the export product supplied and are not b .....

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..... 14 15 16 Notes: 1. If any of the materials mentioned above have also been procured from indigenous sources, this must be specifically stated in remarks column and full details of the procurement along with proof of payment of duty should be furnished in DBK-III statement, even if it is claimed that they are not used in the products exported. 2. Minor items which do not contribute to any significant proportion to the expected drawback rates may be ignored, at the discretion of the applicant. 3. If the assessment against any B/E is not final the nature of dispute may be clearly indicated supported by appropriate letter from concerned customs authorities. Normally no DBK is admitted for provisionally assessed B/Es. 4. Refund application made against any B/E, with details must be indicated. 5. Stock position of the above materials/Components also to be given separately (in linked statement II-A). CERTIFICATE REQUIRED FOR DBK II STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and n .....

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..... ly indicated. (Normally no DBK for provisionally assessed B/E are admitted). 3. Refund applications made if any for procurement shown in stock with details to be indicated. 4. Photocopies of all Bills of Entries mentioned above must be enclosed. CERTIFICATE REQUIRED FOR DBK II A STATEMENT Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of any of the above mentioned bills of entries has been or will be lodged with the Customs Authorities. Signature and Stamp of independent Signature ___________________ Chartered Accountant/Cost Accountant (Name Designation of the Chief Executive/ Production Incharge (with seal) Place: Date: DBK -III Statement Materials/Components of Indian Origin obtained by the manufacturer during the period commencing three months prior to the date of supply /first supply upto the date of application for the manufacture of ____________________ (Name of export product supplied). Sl.No Description .....

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..... procured against Invoices/ subsidiary Invoices has been or will be lodged with the Central Excise Authorities. Signature and Stamp of independent Signature_____________ Chartered Accountant/Cost Accountant (Name Designation of the Chief Executive/Production incharge) (with seal) Place: Date: Statement DBK III A Details of procurements relating to stocks of indigenous materials as on commencement to (the date three months prior to the date of supply/first supply) S. No Description Technical Characteristics S.No. in DBK-I statement Unit Qty purchased originally Assessable value Central Excise Tariff heading no. 1 2 3 4 5 6 7 8 Effective rate of interest Amount of duty paid .....

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