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REGISTER FOR ACCOUNTING THE CONSUMPTION AND STOCKS OF DUTY FREE IMPORTED OR DOMESTICALLY PROCURED RAW MATERIALS, COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION / DFIA

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.... MATERIALS, COMPONENTS ETC. ALLOWED UNDER ADVANCE AUTHORISATION / DFIA* INPUTS ALLOWED IN THE AUTHORISATION(S) (A NO. OF AUTHORISATIONS*** CAN BE CLUBBED TOGETHER FOR THE PURPOSE OF ACCOUNTING OF INPUTS) PRODUCT (S) EXPORTED UNDER THE AUTHORISATION(S) EXCESS INPUTS, IF ANY ALLOWED UNDER THE AUTHORISATION(S). IN CASE OF EXCESS AS IN COLUMN 9 REMARKS Sl.No. Authorisation No(s) with date (A N....

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....orrect. Place: Signature of the authorisation holder ________________ Date: Name in block letters:__________________ Designation:________________ Full official address:______________ Full Residential address :_______________ Official Seal/stamp Appendix 4H Continued CHARTERED ACCOUNTANT / COST ACCOUNTANT/CERTIFICATE I/We hereby confirm that I / We have examined the prescribed registers....

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....e to face any penal action or other consequences as may be prescribed in law or otherwise warranted. I/We further declare that neither I, nor any of my/ our partners is a partner, director, or an employee of the above-named entity, its Group companies or its associated concerns. (Signature and Stamp/ Seal of the Signatory) (Chartered Accountant/ Cost Accountant) Name of the Signatory: Place: ....