DATA SHEET FOR ADVANCE LICENCE APPLICATION ON SELF DECLARATION UNDER PARA 4.4.2 & 4.7 OF HANDBOOK (Vol.I)

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....y value                   * Purpose of requirement should be indicated against each item whether the same is required as raw material, components, consumables solvents, catalysts, packing material etc. (b) Indigenous inputs S.No. Required import item Quantity required per unit of resultant product Purpose of requirement * Wastage claimed (%age) on net content basis. Recoverable wastage/by product Description Technical Characteristics ITC(HS) Code Name Quantity value                   2. Production and consumption data of the manufacturer/supporting manufacturer (of preceding three licensing years duly certified by the ....

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....orisations already obtained under paragraph 4.7                       : c) Balance entitlement as per paragraph 4.7.1.                                                           : Signature of the Applicant.................................. Name in Block letters................ Designation............................... Address.....................

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....t/Cost and Works Accountant/Jurisdictional Central Excise Authority*): *In case there is no past production, the Jurisdictional Central Excise Authority shall certify the production and consumption data on the basis of production batch sheets and for this purpose the firm shall maintain separate record of batch data for inputs consumed in the manufacture of the export product. Year Total production of the resultant product Quantity of different Items consumed Quantity consumed/unit production (1) (2) (3) (4)         3. Particulars of the authorisations (erstwhile licences) obtained in the past and ratified by Norms Committee (NC) (with or without modification) for the same export product covered under this ....