ANNEXURE – 63

Statement Regarding Export of Excisable Goods without Payment of duty

a). NAME OF THE ASSESSEE : SRI ANJANAYA PACKAGE

b). REGISTRATION NO. : ACCFS3917LEM001

c). ADDRESS : D. NO. 5-45/137, SY. NO. 137/E,

NEW STEEL CITY, DOOLAPALLY (V),
QUTBULLAPUR, HYDERABAD – 500055.
d). PREVIOUS UT-1 NO & DT OF
ACCEPTANCE : C.No.V/05/64/GST/LUT/2017-18,
DT.27.07.2017, Issued by
Dy. Commissioner of Central Excise
“JEEDIMETLA” Division.
e). DATE OF EXPIRY : 30-06-2018

DETAILS OF ALL REMOAL OF GOODS FOR EXPORT UNDER THE UT-1 REEFERRED ABOVE

Serial ARE 1 Number and Amount Whether POE Details of Duty and interest paid
No Date of Duty received? If yes, any short in case of short
(Rs) date of “pass for shipment shipment or where “
shipment order” by and pass for shipment
Customs adjustment order” not received
on bond within 6 months
a/c
1 2 3 4 5 6
1 5/19-05-2017 5100 29-05-2017 -NIL- -NIL-
2 6/24-05-2017 3113 02-06-2017 -NIL- -NIL-
3 7/24-05-2017 6930 02-06-2017 -NIL- -NIL-
4 8/24-05-2017 4167 07-06-2017 -NIL- -NIL-
5 9/26-05-2017 1142 02-06-2017 -NIL- -NIL-
6 10/26-05-2017 4121 02-06-2017 -NIL- -NIL-
7 11/30-05-2017 4620 19-06-2017 -NIL- -NIL-
8 12/31-05-2017 3856 19-06-2017 -NIL- -NIL-
9 13/31-05-2017 4920 19-06-2017 -NIL- -NIL-
10 14/31-05-2017 6159 19-06-2017 -NIL- -NIL-
11 15/06.06.2017 1890 19-06-2017 -NIL- -NIL-
12 16/06.06.2017 2406 19-06-2017 -NIL- -NIL-
13 17/12.06.2017 648 19-06-2017 -NIL- -NIL-
14 18/12.06.2017 2132 19-06-2017 -NIL- -NIL-
15 19/12.06.2017 2684 19-06-2017 -NIL- -NIL-
16 20/13.06.2017 4028 19-06-2017 -NIL- -NIL-
17 21/14.06.2017 4888 22-06-2017 -NIL- -NIL-
18 22/16.06.2017 1549 01-07-2017 -NIL- -NIL-
19 23/16.06.2017 3000 22-06-2017 -NIL- -NIL-
20 24/26.06.2017 2968 01-07-2017 -NIL- -NIL-
21 25/26.06.2017 1065 01-07-2017 -NIL- -NIL-
22 26/26.06.2017 981 01-07-2017 -NIL- -NIL-
23 27/26.06.2017 2898 07-07-2017 -NIL- -NIL-
24 28/26.06.2017 1841 07-07-2017 -NIL- -NIL-
25 29/26.06.2017 612 01-07-2017 -NIL- -NIL-
26 30/26.06.2017 5069 01-07-2017 -NIL- -NIL-
27 31/26.06.2017 4324 01-07-2017 -NIL- -NIL-
28 GST-9/15.07.2017 2470 -NIL- -NIL-
29 GST-10/15.07.2017 4633 -NIL- -NIL-
30 GST-11/17.07.2017 5131 -NIL- -NIL-
31 GST-12/17.07.2017 602 -NIL- -NIL-
32 GST-19/21.07.2017 3868 -NIL- -NIL-
33 GST-22/22.07.2017 3544 -NIL- -NIL-
34 GST-23/22.07.2017 112 -NIL- -NIL-
35 GST-25/24.07.2017 1108 -NIL- -NIL-
36 GST-26/24.07.2017 1047 -NIL- -NIL-
37 GST-27/24.07.2017 4500 -NIL- -NIL-
38 GST-44/29.07.2017 7140 -NIL- -NIL-
39 GST-52/31-07.2017 5081 -NIL- -NIL-
40 GST-78/14.08.2017 6170 -NIL- -NIL-
41 GST-79/14-08.2017 5100 -NIL- -NIL-
42 GST-86/18.08.2017 5100 -NIL- -NIL-
43 GST-92/22-08.2017 4780 -NIL- -NIL-
44 GST-96/23.08.2017 531 -NIL- -NIL-
45 GST-97/23.08.2017 2435 -NIL- -NIL-
46 GST-98/23.08.2017 1817 -NIL- -NIL-
47 GST-108/26.08.2017 2964 -NIL- -NIL-
48 GST-109/26.08.2017 2245 -NIL- -NIL-
49 GST-118/29.08.2017 1870 -NIL- -NIL-
50 GST-119/29.08.2017 240 -NIL- -NIL-
51 GST-120/29.08.2017 2431 -NIL- -NIL-
52 GST-134/03.09.2017 3449 -NIL- -NIL-
53 GST-135/03.09.2017 490 -NIL- -NIL-
54 GST-144/08.09.2017 4860 -NIL- -NIL-
55 GST-150/10.09.2017 4618 -NIL- -NIL-
56 GST-151/10.09.2017 2690 -NIL- -NIL-
57 GST-152/10.09.2017 2964 -NIL- -NIL-
58 GST-153/12.09.2017 1159 -NIL- -NIL-
59 GST-154/12.09.2017 2412 -NIL- -NIL-
60 GST-156/15.09.2017 5613 -NIL- -NIL-
61 GST-158/16.09.2017 3292 -NIL- -NIL-
62 GST-159/16-09-2017 2268 -NIL- -NIL-
63 GST-164/18.09.2017 7140 -NIL- -NIL-
64 GST-170/23.09.2017 3000 -NIL- -NIL-
65 GST-171/23.09.2017 2570 -NIL- -NIL-
66 GST-190/06.10.2017 4805 -NIL- -NIL-
67 GST-204/14.10.2017 4796 -NIL- -NIL-
68 GST-207/16.10.2017 3564 -NIL- -NIL-
69 GST-218/22.10.2017 5613 -NIL- -NIL-
70 GST-225/24.10.2017 5613 -NIL- -NIL-
71 GST-264/07.11.2017 3060 -NIL- -NIL-
72 GST-265/07.11.2017 3159 -NIL- -NIL-
 73 GST-269/10.11.2017 7140 -NIL- -NIL-
74 GST-274/14.11.2017 5957 -NIL- -NIL-
75 GST-282/15.11.2017 5304 -NIL- -NIL-
76 GST-283/16.11.2017 9533 -NIL- -NIL-
77 GST-309/26.11.2017 5613 -NIL- -NIL-
78 GST-311/28.11.2017 5141 -NIL- -NIL-
79 GST-329/06.12.2017 5698 -NIL- -NIL-
80 GST-340/12.12.2017 3894 -NIL- -NIL-
81 GST-354/18.12.2017 5000 -NIL- -NIL-
82 GST-360/22.12.2017 2652 -NIL- -NIL-
83 GST-361/22.12.2017 2437 -NIL- -NIL-
84 GST-385/29.12.2017 4284 -NIL- -NIL-
85 GST-398/08.01.2018 3637 -NIL- -NIL-
86 GST-399/08.01.2018 1754 -NIL- -NIL-
87 GST-413/18.01.2018 15361 -NIL- -NIL-
88 GST-438/30.01.2018 1273 -NIL- -NIL-
89 GST-439/30.01.2018 2455 -NIL- -NIL-
90 GST-460/12.02.2018 4896 -NIL- -NIL-
91 GST-463/15.02.2018 3188 -NIL- -NIL-
92 GST-464/15.02.2018 609 -NIL- -NIL-
93 GST-465/16.02.2018 3964 -NIL- -NIL-
94 GST-481/21.02.2018 10282 -NIL- -NIL-
95 GST-521/06.03.2018 2495 -NIL- -NIL-
96 GST-528/13.03.2018 3645 -NIL- -NIL-
97 GST-529/14.03.2018 3856 -NIL- -NIL-
98 GST-544/23.03.2018 2689 -NIL- -NIL-
99 GST-560/28.03.2018 1248 -NIL- -NIL-
100 GST-561/28.03.2018 2248 -NIL- -NIL-
101 GST-571/31.03.2018 10363 -NIL- -NIL-
-NIL- -NIL-

a) I / We declare that I / We have compared above particulars with the records and books of my /
our factory / warehouse and the same are true and correct to the best of my / our knowledge.

b) I / We have enclosed copies of TR-6 where duty and interest have been paid by cash.

c) The Original copies of ARE 1 are authenticated by Customs at the place of export.

d) I / We am/are authorized to sign this document.

Place: IDA Jeedimetla, for SRI ANJANAYA PACKAGE

Date:

(CH. V. PRATAPA REDDY)

Managing Partner