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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....s, Components etc. Allowed Under Advance Authorisation / DFIA* INPUTS ALLOWED IN THE AUTHORISATION(S)*** (ANY 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).(4-8) IN CASE OF EXCESS AS IN COLUMN 9 REMARKS Sl. No Authorization No(s) wit....

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....d. *** In case of transferable DFIA, information in the above format has to be furnished individual DFIA wise. We declare that the aforesaid particulars are correct. Place: Date: Official Seal/stamp Signature of the Authorization holder: ........................................... Name in block letters: ______________________ Designation: ______________________ Full offi....

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..... 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) Place:   Name of the Signatory     Address: Date:   Membership No:   ....