Application for permission to avail of the special procedure relating to pan masala and pan masala containing tobacco (Gutkha) (Appendix - I ) and Intimation of payment of duty (Appendix - II)

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....al Excise Rules, 2002) Name of the manufacturer : Address of the manufacturing premise: ECC No : Address of other premises manufacturing the same products: I/We manufacturer of pan masala or pan masala containing tobacco, residing at…….........................taluka/tehsil …….................. district….............. hereby apply to avail of the special proc....

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....ne under the physical supervision of the Central Excise Officer as per the procedure provided in the notification. 2. I/We hereby agree to abide by the provisions and conditions of the said notifications throughout the said period. Place: Date: Name, residential address and signature of manufacturers or his/their authorised agent Appendix -II Intimation of payment of duty by the manufactu....