25th November. 2004

Notification No. 41/2004-Central Excise (N.T.)

In exercise of the powers conferred by sub-rule (3) of rule 9A of the CENVAT Credit Rules, 2004, the Central Board of Excise and Customs hereby specifies the following Form for the purpose of the said rule, namely:-


{sub-rule (3) of rule 9A of CENVAT Credit Rules, 2004}

1. Name of the manufacturer:

2.         PAN based Registration Number:                              

3. Month to which the return relates:

4. Details of receipt and consumption of principal inputs and finished excisable goods:


Sr. No. Description of principal inputs


Quantity Code* Opening Balance Receipt Taken for use in the manufacture of dutiable and exempted finished goods Removed
such for export
or for
home con-
Closing Balance


goods manu-
factured out of
Quantity code of finished goods*

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finished goods manu-


S. No. Description
1 2 3 4 5 6 7 8 9(A) 9(B) 10 11

5. Details of waste and scrap arising during manufacture and cleared/destroyed:


S.No. Description of waste and scrap Quantity code* Quantity
Cleared Destroyed
1 2 3 4(A) 4(B)

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)




Return of receipt and consumption of principal inputs and finished excisable goods for the month ending ____

                                   D D    M M    Y Y Y Y

Date of receipt                    

 Name and signature of the officer with seal

[F.No.224/52/2004-CX 6]

                                                                                                Neerav Kumar Mallick
Under Secretary to the Government of India

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