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Direct import of materials/components made by the manufacturer and foreign materials obtained locally by the manufacturer during the period commencing three months prior to the date of supply /first supply upto the   date   of application, for manufacture of ______________________ (Name of export product supplied).
S.No.    Descrip-tion    Techni-cal charac-terist-ics    S.No. in DBK 1 statement    B/E No. & date under which imported    Name of the Customs House    Unit    Qty. imported originally    Assessable value
1    2    3    4    5    6    7    8    9


Heading No. in Customs Tariff Act, 1975    Rate of duty    Country from which imported and name of supplier    Is assessment final    Basic duty + Additional  Customs Duty     Name and full address of the supplier in case  the foreign material/
Components obtained locally    remarks
10    11    12    13    14    15    16

1.    If any of the materials mentioned above have also been procured from indigenous origin,  this must be specifically stated in remarks column and full details of the procurement alongwith proof of payment of duty should be furnished in DBK-III statement, even if it is claimed that they are not used in the products exported.

2.    Minor items which do not contribute to any significant proportion to the expected drawback rates may be ignored, at the discretion of the applicant.

3.    If the assessment against any B/E is not final the nature of dispute may be clearly indicated supported by appropriate letter from concerned customs authorities. Normally no DBK is admitted for provisionally assessed B/Es.

4.    Refund application made against any B/E, with details must be indicated.

5.    Stock position of the above materials/Components also to be given separately (in linked statement II-A).


Certified that the particulars mentioned in this statement are correct to the best of my knowledge and belief and no claims for refund of duty in respect of  any of the above mentioned bills of entries (other than whose details are furnished) has been or will be lodged with the customs Authorities.

Signature and Stamp of independent              Signature _________________   
Chartered Accountant/Cost Accountant         (Name & Designation of the Chief Executive/ Production incharge (with seal.)


The above information is a part of Import Export Training online

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