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ANNEXURE II

MANUFACTURERS DECLARATION REQUIRED FOR EXPORT OF GOODS FOR AVAILING HIGHER INDUSTRY RATE OF DRAWBACK (Circular No.54/2001-cus,dated 19th October 2001) 1. Description of the Goods 2. Invoices No and Date : POLYPROPYLENE MATS : 10604 DT. 02/05/2012 ASIATIC COMMERCIAL CORPORATION. 413/E,VASANT WADI, KALBADEVI ROAD, MUMBAI 400002 INDIA. SHRINATH POLYMER D/31,M.I.D.C. JALGOAN

3. Name and address of the : Exporter along with the Name of the jurisdictrional Central Excise Commissionerate Division / Range 4. Name of the SUPPORTING : Manufacturer(s)/Job Worker(s) Along with the name of the Jurisdictional central Excise Commissionerate/Division/Range

5. Address of the manufacturing : SAMA AS ABOVE Units(s) Job work Premises. We, SHRINATH POLYMER the supporting manufacturer / job Workers of the above mentionaed goods hereby declare that(a) Our Central Excise Reg No. (b) We have not paid any Central Excise duty on these goods and (c) We have not availed of the Cenvat factility under the CENVAT credit Rules 2001, or any notification under thereunder , and Supporting Manufacture Signature & Seal

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