Appendix 35

Formats for Claiming Duty Drawback on all Industry Rates/Fixation of Drawback Rates/ Refund of Terminal Excise Duty

DBK I Statement

Description of the Export Product supplied _____________________ Bill of Materials* issued for manufacture of (No.of units of the export product).

*(Bill of materials should consist of raw materials and components going into the manufacture of export product supplied and the actual packing materials used).

 

S. No.

Name of the material/ component

Quality

Technical characteristics

Whether imported or indigenous

Unit

Gross qty. required

Wastage Qty

Irrevo Cable

recover able

1

2

3

4

5

6

7

8

9

 

 

 

 

 

 

 

 

 

 

Sale Price of waste per unit of Qty

By Product/ co product

Net wt of the material

Remarks

 

Qty.

Sale value per unit

 

 

10

11

12

13

14

 

 

 

 

 

 

Give convenient units by which goods are invoiced for export (e.g. per tonne, per dozen/Pcs., per Sq. meter etc).

Notes:-

1.    The Units of quantity to be furnished in Col.6 should be given in such a manner that it could be related to Statements II and III respectively.

2.    Maintenance stores/materials such as lubricating oil, greases, fuel etc. which are employed to run the machinery and plant should be excluded.

3.    The data for packing materials should be for the same unit quantity for which data for export product for raw materials and components have been given.

4.    Only those raw materials/components etc. to be indicated for which proof of payment of Customs/Central Excise duties is shown in DBK-II/III. Details of such inputs need not be given where no benefit of duty paid is claimed because of MODVAT or absence of proof of duty. Only a brief mention of such inputs being used would be sufficient.


Certificate Required for DBK I Statement

1.    On behalf of the applicant, I hereby certify that the materials as mentioned above are actually required and being used for production of export product.

Station _____________                          Signature _________________

                                                        (Name & Designation of the Chief

Dated _____________                           Executive/Production incharge

                                            (with seal.)

II.    It is certified that (To be given by an independent Chartered Engineer):

a)    The consumption of various materials shown in DBK-I has been examined by us and these are actually required and being consumed in the factory of production for manufacture of export product supplied as checked by us on verification of the production process and relevant technical and related documents.

b)   The imported materials above shown in DBK-I are being actually used in the manufacture of the export product supplied and are not being substituted by indigenous materials;

c)    The wastage /co-product/by-product claimed are as per production process in the factory. There is no suppression of co-product/by-products. The wastages claimed in our views are reasonable and are comparable to the general norms for the industry. Where wastages are considered high, an indication of the normal wastage in the industry has been indicated by us, under 'Remarks' column.

 

                                                                             Signature    _________________________

                                                                             Name         _________________________

                                                                             Designation _________________________

                                                                             Address      _________________________

Place___________                                                     Branch of Engg.

Date____________                                                    in which qualified:_____________________

 

Name & Address of the institution :                               _____________________________________
under which Chartered.Ref.No.and date                         _____________________________________
of membership.                                                          _____________________________________


DBK II Statement

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.

Description

Technical characterist-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

 

 

 

 

 

 

 

 

Notes:

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).

 

Certificate Required for DBK II Statement

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.)

Place:

Date:


DBK II A Statement

Details of procurements relating to stock of imported materials as on commencement *date (*the date three months prior to the date of supply /first supply required for the manufacture of ___________(Name of export product supplied).

S. No.

Description

Technical Characteristics

S.No. in DBK I statement

B/E No. and date covering the imported stock

Name of the Customs House

Unit

Qty. imported originally

Assessable value

1

2

3

4

5

6

6A

7

8

 

 

 

 

 

 

 

 

 

 

Heading no. in Customs tariff Act, 1975

Rate of duty

Country from where imported & name of supplier

Is assesment final

Basic duty + Addl customs duty

Name and full address of the supplier in case the foreign materials/ components obtained locally

Stock as on ___

Remark

9

10

11

12

13 13A

14

15

16

 

 

 

 

 

 

 

 

 

Note:-

1.    In this statement furnish details of stock of all the imported inputs mentioned in statements II which were in stock 3 months prior to the date of shipment/first shipment of the export product and how these were imported/procured. (Actual stock to be given under Col.15, with procurement details in other Columns).

2.    If the assessment for any of the inputs in stock as shown is not final, the nature and current status of dispute may be clearly indicated. (Normally no DBK for provisionally assessed B/E are admitted).

3.    Refund applications made if any for procurement shown in stock with details to be indicated.

4.    Photocopies of all Bills of Entries mentioned above must be enclosed.

 

Certificate Required for DBK II A Statement

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 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.)

Place:

Date:


DBK III Statement

Materials/Components of Indian Origin obtained by the manufacturer during the period commencing three months prior to the date of supply /first supply upto the date of application for the manufacture of ___________________ (Name of export product supplied).

Sl. No.

Description

Technical Characteristics

S.No. in DBK-I statement

Unit

Qty purchased

Assessable value

Central excise tariff Heading no.

1

2

3

4

5

6

7

8

 

Effective rate of duty paid

Amount of duty paid

Name and address of supplier

Invoice No. and date

Is assessment on duty final

Remark

9

10

11

12

13

14

 

Notes:-

1.    In this statement details of only those items which are chargeable to the excise duty to be given for which proof of Central Excise duty can be established by Invoices.

2.    Materials/Components specified in Drawback II Statement if these are also of indigenous origin and procured locally should be included in this statement, whether dutiable or not. This is irrespective of the fact whether the said materials/components are used for export production or not. Where the said materials/components are claimed to be only for manufacture of goods for local sales and not for exports, this should be specifically indicated in the ‘Remarks’ column, against the respective serial number of the said material/component.

3.    The particulars of Invoice numbers and date where the applicant is the consignee should be furnished under col.11. Photocopies of all Invoices for inputs which are subject to Central Excise Duties of 20% or higher and some representative copies for other Invoices must be enclosed.

4.    If the assessment which is not final or duty is paid under protest the extent of dispute may please be clearly indicated (copy of S V B Order to be attached).

5.    Refund applications made if any against any Invoice with Details, to be indicated.

 

Certificate Required for DBK III Statement

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 materials/components procured against Invoices/ subsidiary Invoices has been or will be lodged with the Central Excise Authorities.

Signature and Stamp of independent                                            Signature ___________________

Chartered Accountant/Cost Accountant                                         (Name & Designation of the Chief
                                                                                               Executive/ Production incharge
                                                                                               (with seal.)

Place:

Date:


Statement DBK III A

Details of procurements relating to stocks of indigenous materials as on commencement to (the date three months prior to the date of supply/first supply)

S. No.

Description

Technical Characteristics

S.No. in DBK-I statement

Unit

Qty purchased originally

Assessable value

Central Excise Tariff heading no.

1

2

3

4

4A

5

6

7

 

 

 

 

 

 

 

 

 

Effective rate of interest

Amount of duty paid

Name and address of supplier

Invoice No. and date

Is assessment of duty final

Stocks as on _____

Remark

8

9

10

11

12

13

14

 

 

 

 

 

 

 

 

Notes:-

1.     In this statement furnish details of stock of all the indigenous materials mentioned in statements I & III which were in stock three months prior to date of shipment/first shipment of the export product and how these were procured (including Invoices Nos.etc.).

1A.   In this statement details of only those items which are chargeable to the Excise Duty may be given for which proof of payment of Central Excise duty can be established.

2.     The particular of Invoice number, date etc. should be furnished in Column.11.

3.     If the assessment which is not final or duty is paid under protest the extent of dispute may please be clearly indicated.

4.     Refund applications made if any with details to be indicated.

 

Certificate Required for DBK III A Statement

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 materials/components has been or will be lodged with the Central Excise Authorities.

Signature and Stamp of independent                                           Signature ___________________

Chartered Accountant/Cost Accountant                                        (Name & Designation of the Chief
Executive/ Production incharge
(with seal.)

Place:

Date: