{sub-rule (3) of rule 9A of CENVAT Credit Rules, 2004}
1. Name of the manufacturer:
3. Month to which the return relates:
4. Details of receipt and consumption of principal inputs and finished excisable goods:
TABLE
5. Details of waste and scrap arising during manufacture and cleared/destroyed:
NOTE. - (1) Finished goods mentioned in Column (9B) should be stated in respect of each of the inputs mentioned in Columns (2) and (6).
(2) *Please indicate the abbreviation referred to in Instruction No. 7 mentioned in Form E.R.-1 and Form E.R.-3 specified in the Government of India, Ministry of Finance (Department of Revenue) vide No.25/2004-Central Excise (N.T.), dated the 27th September, 2004 published vide G.S.R.No.643 (E) dated the 25th September, 2004.
6. (i) I/We _________________declare that the particulars declared above have been compared with the records and books of my/our factory/warehouse and the same are true and correct to the best of my/our knowledge.
(ii) I/we am/are authorized to sign this return.
(Name in capital letters and signature of the assessee or authorized signatory)
Place:
Date:
ACKNOWLEDGEMENT
Name and signature of the officer with seal