Declaration by the SEZ Unit or Developer for availing ab initio exemption under notification No.12/2013- Service Tax dated 1st July, 2013

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....ses with telephone and Email: 3. Permanent Account Number (PAN) of the SEZ Unit/Developer: 4. Import and Export Code Number: 5. Jurisdictional Central Excise/Service Tax Division: 6. Service Tax registration number / Service Tax code / Central Excise registration number: 7. Declaration: I/We hereby declare that- (i) The information given in this application form is true, correct and complete....

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....ished below: Table I S. No. Name of the unit owned in DTA Output services provided by DTA Unit Goods manufactured by the DTA unit (vi) I/We intend to claim ab initio exemption on the specified services mentioned in the following Table: Table II Sl.No. Specified service(s) to be received for the authorised operation Details of service provider(s) who provide(s) the specified service(s),....