Beruflich Dokumente
Kultur Dokumente
Manufacturer
Warehouses
Export Oriented Unit (EOU)
Unit within FTZs
Manufacturers Depot
Dealer
Constitution of Business
(tick only one
Proprietorship
Partnership
Registered Company
Unregistered Company
Trust
Society
Others
7
8
TAMIL NADU
600 124
/
@.IN
Page 1
If No,
(i)
Name of the
Premises (Building)
(ii)
Flat/Door/Block No.
(iii) Road/Street/Land
(iv) Village/Area/Locality
(v)
Block/Taluk/SubDivision
(vi) Town/City/District
(vii) State/UT
(viii) PIN & Post Office
(ix) Telephone Nos.
(x)
Fax Nos.
(xi) E-mail Address
107,
600 098
10
Page 2
11
Details of Proprietor/Partners/CEO/
Chairman/Managing Director/
Trustee/Member etc.
(a) Name :
(b)Designation :
( c) Residential address
(i) Name of the Premises
/Building
(ii)
Flat/Door/Block No.
(iii)
Road/Street/Land
(iv) Village/Area/Locality
(v)
Block/Taluka/Sub-Division
(vi) Town/City/District
(vii) State/UT
(viii) PIN & Post Office
(ix) Telephone Nos.
(x)
Fax Nos.
(xi) E-mail Address
C.R.
5
ALLIEDS SHRUTHI
TAMIL NADU
600040
044-
(2)
Page 3
COMMODITY 1
-Description
-Brand name
Inexo
-CETH No.
38241000
-Details during last three financial years
- Year 12-13
-Rate of duty 12.36%
CENVAT+SED= TOTAL DUTY
AED (ST)/AED (TT)/AED (GSI)
-Exemption Notfn. no./date
-Total value of clearance excluding
Excise duty (in Rs.371655.00)
-Year 13-14
-Rate of duty 12.36%
CENVAT+SED= TOTAL DUTY
AED (ST)/AED (TT)/AED (GSI)
-Exemption Notfn. no./date
-Total value of clearance excluding
Excise duty (in Rs.53842300)
-Year 14-15
-Rate of duty 12.36%,12.5%(March 15)
CENVAT+SED= TOTAL DUTY
AED (ST)/AED (TT)/AED (GSI)
-Exemption Notfn. no./date
-Total value of clearance excluding
Excise duty (in Rs.162823741)
(attach a separate sheet if more commodities)
2 ) Description, brand name (if any), CETH and details of exemption Notfn.
availed, if any, of goods on which duty has not been paid (in case the
assessee avails SSI benefits, the goods cleared under nil duty should be
mention in this part).
COMMODITY 1
-Description
Not
-Brand name
-CETH No.
-Details during last three years
-Year 1
-Exemption Notfn. no./date
-Total value of clearance (in Rs.)
Applicable
-Year 2
-Exemption Notfn. no./date
-Total value of clearance (in Rs.)
-Year 3
-Exemption Notfn. no./date
-Total value of clearance (in Rs.)
(attach a separate sheet if more commodities)
3. Details of goods exported
COMMODITY 1
-Description
-Brand name
-CETH No.
Year 1
Value of goods exported
under bond (in rupees)
Value of goods exported
under claim of rebate(in rupees)
Not Applicable
Page 4
Year 2
Value of goods exported
under bond (in rupees)
Value of goods exported
under claim of rebate(in rupees)
Year 3
Value of goods exported
under bond (in rupees)
Value of goods exported
under claim of rebate (in rupees)
5) Details of goods sent for job work during the last financial year
COMMODITY 1
-Whether raw material as such or
intermediate goods (write R or I)
-Description of raw material
or intermediate goods sent
-CETH No.
-Names and addresses of job-worker
Not Applicable
Not Applicable
Page 5
01
(Note: In column for nature of sale, write 01 for factory gate sale,02 for sale
through depot, 03 sale through branch office, 04 for sale through distributor,
05 for sale through consignment agent, 06 for sale through other marketing
intermediary, 07 for sale in retail, 08 for inter-unit transfers, 09 for captive
consumption and 10 for sale to related person. In case a commodity is sold
through more than one of the above categories, each type of sale of a
commodity should be treated as separate commodity and mentioned
individually.)
COMMODITY 1
-Description
Foundry Chemicals Products
-CETH No.
38241000
-Nature of sale
01
COMMODITY 2
-Description
-CETH No.
-Nature of sale
COMMODITY 3
-Description
-CETH No.
-Nature of sale
Part E: Details of the traded goods during last three financial years.
COMMODITY 1
Year 1
-Description
-Brand name
-CETH No.
-Sale value in rupees
Not Applicable
Page 6
Year 2
-Description
-Brand name
-CETH No.
-Sale value in rupees
Year 3
-Description
-Brand name
-CETH No.
-Sale value in rupees
COMMODITY 2
Year 1
-Description
-Brand name
-CETH No.
-Sale value in rupees
Year 2
Description
-Brand name
-CETH No.
-Sale value in rupees
Year 3
Description
-Brand name
-CETH No.
-Sale value in rupees
(attach a separate sheet if more commodities)
Part F:
SERVICE 1
-Description of service
-Value of services in rupees
-Whether taxable service (Y/N)
Yes, Manpower
SERVICE 2
-Description of service
-Value of services in rupees
-Whether taxable service (Y/N)
(attach a separate sheet if more services)
Page 7
Aluminium
Arasan
76031090
Production
Clearance for
home
consumption
without duty
payment
Clearance
for export
on
payment
of duty
Clearance
for export
without
duty
payment
Page 8
completed
financial year
Comm 2012odity
13
(Foun
dry
Sleeve
)
201314
201415
Qty
Value
Qty
Value
Qty
Value
Qty
Valu
e
Qty
Valu
e
7.34
13415
3.72
0.00
0.00
0.00
0.00
0.00
0.00
2578867
433.22
2372532
537.54
3406
0.88
0.00
0.00
0.00
0.00
5553618
1183.47
5582702
1610.12
61196
18.12
0.00
0.00
0.00
0.00
29108
Commodity
3(LPG)
Year
13
Year
14
Year
15
Year
13
Year
14
Year
15
Goods received
Qty
Value
Goods consumed
Qty
Value
17500
530775
5766
245885
49550
9495399
47102
9051242
86739
18383286
88239
1860155
9
3000
436289
711
103400
39702
5720480
38466
5545587
21007
3194170
24532
3701952
150
388526
0.00
0.00
85050
7174855
84428
7491424
146116
10728345
145983
1073839
1
121314121314-
(d)
(b+c+d)
(a+b+c+
current
d)
financia
l year
Year 1242653.0
0.00
0.00
42653.0
45937.00
13
3284.00
0
0
Year 13- 2245670. 2865598 1285713 291353 4442664 6688334.
14
00
.00
.00
.00
.00
00
Year 14- 11008291 7908168 136702.
863924 8908794 19917085
15
.00
.00
00
.00
.00
.00
Part L : Details of the anti evasion cases booked during last three
financial years and current financial year.
Sl.No Period of
Duty
SCN No &
Percenta
ge of
cenvat to
the total
duty
[(b+c)/
(a+b+c)]
%
92.85%
66.42%
44.73%
Issue/issues
Page 9
demand
Involved
Date (if
issued
involved
-NILPart M : Details of the audit objections raised during last three financial
years.
Sl.No Period of
demand
Duty
Involved
SCN No &
Date (if
issued
Issue/issues
involved
Sl.No SCN No
& Date
Amount
of Duty
Involved
Adjudicati
ng
authority
Period of
pendency
in months
Reasons for
pendency
-NIL-
SCN
No &
Date
O-in-O
No. &
date
Amount of
duty+RF+P
P=Total
outstanding
dues
Outstandi
ng
amount
no
immediat
ely
recoverab
le due to
stay etc.
Recovera
ble
outstandi
ng dues
Reasons for
nonpayment /nonrecovery of
proceeding
col.
-NIL-
Issue on
brief
Duty+RF+PP
=total
amount
involved
Forum before
who it is
pending
Period of
pendency before
the present
deciding
authority.
-NIL-
Page 10