Customs Forms
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 shipment/first shipment) based on FIFO principle.
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No. |
Description | Technical characteristics | S. No. in DBK-I Statement | Unit | Qty. purchased originally | Assessable value | C. Ex. Tariff No. |
| 1 | 2 | 3 | 4 | 4A | 5 | 6 | 7 |
| Effective rate of duty | Amount of duty paid | Name & Address of supplier | Gate Pass No. & date | is assessment of duty final ? | Stocks as on | Remarks |
| 8 | 9 | 10 | 11 | 12 | 13 | 14 |
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Note : |
1. |
In this statement furnish details of stock of all the indigenous mentioned in Statement I & III which were in stock 3 months prior to the date of shipment/first shipment of the export product and how these were procured. (including Gate pass Nos. etc.) |
| 1A. | In this statement details of only those items which are chargeable to the excise duty may be given for which proof of payment of Central Excise duty can be established. | |
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2. |
The particulars of gate pass number, date etc. should be furnished in Column 11. |
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3. |
If the assessment which is not final or duty is paid under protest the extent of dispute may please be clearly indicated. |
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4. |
Refund applications made if any with details to be indicated. |
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CERTIFICATE |
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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 materials/components has been or will be lodged with the Central Excise Authorities. |
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Signature of the Power of Attorney Holder of Authorised Agent. |
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Signature and stamp of independent Chartered Accountant/Cost Accountant |
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