Monthly Return Form of CENVAT

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Monthly Return in terms of Para 4 (ii) of this notification
Note.- Separate entries should be made for each variety or class of goods used. I/We declare that I/we have compared the above particulars with the records (and) /books of my/our factory and that they are, insofar as I/we can ascertain complete.
Date :
Signature of DTA exporter Name in capital letters Seal S.No. Description of specified goods Details Closing Opening balance balance Received Total of columns (3) & (4) Quantity exported Page 1


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