NTF. NO. 40/2004-CE(N.T.), DT. 25/11/2004
- Document type
- Notification
- Reference no.
- FF
- Dated
- Category
- Non-Tariff
Rule 9A of the CENVAT Credit Rules, 2004 - FORM ER-5
Rule 9A of the CENVAT Credit Rules, 2004 - FORM ER-5
{sub-rule (1) of rule 9A of CENVAT Credit Rules, 2004}
1. Name of the manufacturer:2. PAN based Registration Number: ccccccccccccccc3. Annual Declaration (i) New declaration (ii) Amendments to declaration already filed (Pl. tick the appropriate box)4. Declaration for the Financial Year ___________
| S.No | Description of principal inputs | Central Excise Tariff Sub-HeadingNo. of principal inputs | Quantity code* | Description of finished goods in which principal input mentioned in column (2) is used | Central Excise Tariff Sub-Heading No. of finished goods | Quantity code* | Quantity of principal input mentioned in column (2) required for use in the manufacture of unit quantity of finished goods mentioned in column (5) |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
*NOTE. - Please indicate the abbreviation referred to in Instruction No. 7 mentioned in Form E.R.-1 and Form E.R.-3 specified in the Government of India, Ministry of Finance (Department of Revenue) vide No.25/2004-Central Excise (N.T.), dated the 27th September, 2004 published vide G.S.R.No.643 (E) dated the 25th September, 2004.
5. (i) I/We _________________hereby declare that the information given above is true, correct and complete in every respect to the best of my/our knowledge and belief.
(ii) I/We am/are authorized to sign this declaration.
(Name in capital letters and signature
of the assessee or authorized signatory)
Date:
Declaration for the Financial Year ___________
| D | D | M | M | Y | Y | Y | Y |
| Date of receipt |
Place:
Date:
Name and signature of the officer with seal
[F.No. 224/52/2004-CX 6](Neerav Kumar Mallick)
Under Secretary to the Government of India