Combined application for removal of goods for export under claim for rebate of duty paid on excisable materials used in the manufacture and packing of such goods and removal of dutiable excisable goods for export under claim for rebate of finished stage Central Excise Duty or under bond without payment of finished stage Central Excise Duty leviable on export goods - [See Rule 18/19 of the Central Excise Rules, 2002, read with Notification Nos. 21/2004-C.E. (N.T.) and 43/2001-C.E. (N.T.)]

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....Quintuplicate (Blue) Form A.R.E. 2 Combined application for removal of goods for export under claim for rebate of duty paid on excisable materials used in the manufacture and packing of such goods and removal of dutiable excisable goods for export under claim for rebate of finished stage Central Excise Duty or under bond without payment of finished stage Central Excise Duty leviable on export goods. To The Superintendent of Central Excise, (Address) ___________________ (full postal address) 1. Particulars of the Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise from whom rebate shall be claimed/with whom bond is executed and his complete postal address __________________. 2. I/We ______________ of....

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..... TABLE 2 Details of duty paid on excisable Materials and Packing materials used in manufacture of export goods for which rebate under notification _________ dated _____ is being claimed S. No. Name/des-cription of materials/ packing with technical specification/ Quantity Central Excise Tariff Sub-heading Unit Qty. used Name of Supplier Invoice No. and Value/ Unit (Rs.) Assessable Value/ Unit (Rs.) Rate of Central Excise duty Duty Amt. per unit (Rs.) Total Wastages Rebate admissible under rule 18 (Rs.) Remarks Irrecoverable Recoverable (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) Declaration : (a) We hereby certify that we have not availed facility of CENVAT credit under CENVAT Credit Rules....

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....al of goods for export, to the Superintendent of Central Excise. Note 2 : A running serial no. of the factory starting with one in every financial year should be allotted to every A.R.E. 2. FOR DEPARTMENT USE PART A CERTIFICATION BY THE CENTRAL EXCISE OFFICER 1. Certified that *duty has been paid on the goods described above or duty is payable as recorded at entry number___ in Daily Stock Account. or *the owner has entered into B-1 bond No ____________ /given an Undertaking ______under Rule 19 of Central Excise Rules, 2002 with the ____________________________ or *the finished goods being exported are not dutiable. 2. Certified that I have opened and examined the packages No. ___________________ and found that the particulars state....

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.... Excise along with Triplicate copy of A.R.E. - 2. Note 4 : The original, duplicate and Quintuplicate shall be returned to the manufacturer for presenting to the Customs Officer. PART B Certification by the Officer of Customs 1. Certified that I have examined the consignment described overleaf and the seals on the packages were found intact and I have satisfied myself that particulars of the consignment are as specified overleaf except for the shortages mentioned below : ________________________________________________________________ 3[2. (a) Certified that the exports, are under Duty Drawback Scheme on rates and caps specified below the column heading 'Drawback when Cenvat facility has been availed' which represents Customs c....