Quarterly return form for manufacturers paying 1% duty

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.... MMMYYYY   1. Registration number .-                               2. Name of the Assessee                                         3. Details of the manufacture, clearance and duty ....

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....Details of duty paid on excisable goods: Duty code Amount (Rs.) Challan No. Date Bank code Branch Code (1) (2) (3) (4) (5) (6) CENVAT           Edu. Cess & Sec & Higher Education cess           Total duty paid             5. Details of other payments made: Payments Amount (Rs.) Challa....

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....   Y Y Y Y Date of receipt                         Name and Signature of the Range Officer with Official Seal INSTRUCTIONS 1. Indicate the 15-digit PAN based registration number and the name as appearing in the Registration Certificate. 2. In case more than one item is manufactured, additional row may be inserted....