finance.doc

Annexure-14

Range...........
Division..............Address.....................
Commissionerate....................

Original (White)
Duplicate (Buff)
Triplicate (Pink)
Quadruplicate (Green)
FORM A.R.E. 1
Application for removal of excisable goods for export by (Air/Sea/Post/Land)*
To
Superintendent of Central Excise
........................(Full Postal Address)
1. Particulars of [Assistant/Deputy Commissioner of Central Excise]/Maritime Commissioner of Central Excise from whom rebate shall be claimed/with whom bond/undertaking is executed and his complete postal address.
2. I/We ........ of ..............propose to export the under-mentioned consignment to ........... (Country of destination) by
Air/Sea/Land/Parcel Post under claim for rebate/bond/undertaking *.
Particulars of Manufacturer of goods-and his Central
Excise Registration No.
(1)

No. and
Description of packages (2)

Gross weight/ Net weight
(3)

Marks and
Nos.
on packages
(4)

Quantity of goods (5)

Description of
Goods
(6)

Value

Duty
Rate

(7)

Amt. (Rs.)

(8)

No. and date of Invoice under which duty was paid/No. and date of bond/undertaking executed under Rule 19

(9)

Amount of
Rebate
claimed

(10)

(11)

Remarks

(12)

3. I/We hereby certify that the above- mentioned goods have been manufactured.
(a) availing facility/without availing facility of CENVAT credit under CENVAT Credit Rules, 2001
(b) availing facility/without availing facility under Notification 41/2001-Central Excise (N.T) dated 26th June, 2001 issued under rule 18 of Central Excise(No.2) Rules, 2001.
(c) availing facility/without availing facility under Notification 43/2001-Central Excise (N.T) dated 26th June, 2001 issued under rule 19 of Central Excise (No.2) Rules, 2001.
4. I/We hereby declare that the export is in discharge of the export obligation under a Quantity based Advance
Licence/Under Claim of Duty Drawback under Customs & Central