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FORMAT FOR ACCOUNTING OF CONSUMPTION AND STOCKS OF DUTY FREE IMPORTED OR DOMESTICALLY PROCURED RAW MATERIALS, COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION FOR PHARMACEUTICAL PRODUCT MANUFACTURED THROUGH NON INFRINGING (NI) PROCESS (PLEASE READ PARAGRAPHS 4.7A, 4.28, 4.30 OF THE HBP. V1)

APPENDIX 23A - Old_Provisions - Appendix - Foreign Trade Procedure (RE - 2012) / 2009-14 (From 5-6-2012 to 31-3-2015) - APPENDIX 23A - 1[APPENDIX 23 A (Please see para 4.7A, 4.28, 4.30 of the HBP. v1) Inputs allowed in the authorisation Product(s) ex .....

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oduct** Additional exports effected in proportion to excess inputs Input quantity reduced proportionate-ly in the authorisation* Customs duty paid alongwith interest Inputs Quantity (Including actual wastage incurred) 1 2 3 4 5 6 7 8 9 10 11 12 13 *A .....

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culars are correct. Signature of the authorisation holder Name in block letters: ___________. Full official address: ____________ Full Residential address: _________ Telephone No.: ________________ E-mail: ______________________ Official Seal/Stamp P .....

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firm that I have examined the production details and the records of M/s __________(Name of the authorisation holder) and verified the details furnished in Appendix 23A format. I hereby certify the following details of consumption of inputs for the ph .....

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exports: Physical/Deemed/Both (pl strike out whichever is not applicable). 5. Period for which production details verified: 6. Quantity exported against the authorization: 7. Details of inputs consumed in per unit of exported product: Sl. No. Name of .....

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