ANNEXURE B

(to be submitted in duplicate)

(Refer Trade Notice No.26/2004 dtd. 08.06.2004 of commissioner, Central Excise, Mumbai - IV)
(PROFORMA OF INFORMATION OF EXPORTERS)
To,
Maritime Commissioner of Central Excise.
Mumbai-IV Commissionerate,
2nd Floor, Estrella Batteries Compound,
Dharavi - Matunga,
Mumbai - 400 019.
Sir,
We are regular Exporter. We intend / have field claim of rebate of central excise duty with your office. We are furnishing following
information / documents to enable your office to register us on your record.
Name of the Applicant
Category of Exporter
Legal Status
Status as exporter
Whether registered with C.Ex.
If Registered with C.Ex, Regn.No.
Complete Address : Office
Name of the contact person
Phone Nos. Office
Fax Nos : Office
E-mail address
PAN No.
Detail of income Tax assessment office
Imp-Exp. Code No.(IEC No.)
Bank Name and Account No.

M/s. THYKN (INDIA) INTERNATIONAL

Merchant
Partnership
Yes
S.T./M-ll/BAS/REGN/1914/2004-05
202,Kuntal,Mody Estate, L.B.S. Marg, Ghatkoper (W), 400086
PRASHANT DINGANKAR
022 67033666
022 67033663
info@thykn.com
AADFT8545J
Mumbai
0303001844
CORPORATION BANK & A/C No. 4263

We are enclosing a copy of IE Code, Pan Card, Audited balance sheets and P & L Account for last three years & Partnership Deed
(Self attested).
We are also enclosing an authorization letter (for collection of cheques) duly attested by Bankers

Date:

Sd/(Name and designation of the person signing)

Seal of the organization
For Office Use

Entered at SL No.__________________________ / _______________________ of the registered of Exporters.

Date:
Inspector, Central Excise
Maritime Commissioner, Mumbai IV

Suptd. Of Central Excise

Mumbai IV