Name of Assessee: M/s. Khadim India Ltd.

Stock Register of goods sent for Job - Work ANNEXURE-IV

Address Removal of Inputs or partally Processed Goods Under Rule 4(5)(a)of the cenvat Credit Rules,2004
Kolkata - 700107 (To be maintained by assessee who sends inputs / partally processed goods)
Registration No. AABCK3341AXM003
SL No. Date of Issue Description of Goods Tarrif Quantity Identifi Premises/ Factory to which removed Challan No. Date Nature of Initial of Date of Qty of Difference Quantity Invoice Particul Date of Initial Remarks
Classificatio Removed cation Prosessing Assessee Clearance finished between of waste No. & ars of export if of
n chapter marks. of finished goods Col.5& 12 material date paymen the assess
heading / If any goods cleared by received ARE-1 t of finished ee
sub Heading from job back / No. & duty goods are
premises worker cleared by Date cleared
of job Job fro
worker Worker exports

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 ( Original - Pink) Table and Field
CHALLAN ( Duplicate - green)
( Triplicate - White)

Sr. No……………………… J_1iexchdr/official no

Date………………………. J_1iexchdr/Doc date
( For movement of inputs or partially processed goods under Rule 4 (5)(a) of the Cenvat Credit Rules, 2004
from one factory to another for further process/operation)
J_1iexchdr select plant and pass the plant no to T001w
Name and address of the pricipal manufacturer : M/s. Khadim India Ltd. T001w/NAME1
Name 2
House no and street
Kolkata - 700107 Post code
PART - I

1 Description of goods As per the attached sheet

2 Identification marks and numbers, if any As per the attached sheet
3 Quantity (Nos./Weight/Litre/Metre) As per the attached sheet
4 Value As per the attached sheet
5 Tariff Classification As per the attached sheet
6 Date and time of issue J_1iexchdr/Doc date/ Time of removal(Rem.time)
7 Nature of process/manufacturing process required to be done J_1iexchdr/ Additional data(all)
8 Name of job worker with Central Excise Registration No. if any J_1iexchdr/ vendor/ LFN1 / Name/eccno/regno
9 Expected duration of process/manufacturing of the goods J_1iexchdr/ return date

Place :
Date : J_1iexchdr/date Signature of manufacturer/
Authorised Signatory

PART - II
To be filled in by the Processing factory (Job worker) in Original & Duplicate Challans

Date and time to completion of finished goods entry no. in the stock register /receipt from another job-worker
1
and entry no. and date of receipt in the account in the processing factory
2 Identification numbers of the packages such as marks and no. & batch no.
3 Quantity ready for dispatch ( Nos./Weight/Litre/Metre) & Entered in account
4 Tariff Classification
5 Nature of process carried out /manufacturing done
6 Particulars of waste material and nature of disposal

Place :
Date : Signature of Processor/
Authorised Signatory
Name of Assessee: M/s. Khadim India Ltd. Stock Register of goods receipt for Job - Work

Address Kolkata - 700107 Particulars of Receipt of Inputs or partally Processed Goods Under CENVAT Credit Rules,2004
AABCK3341AXM002 (To be maintained by Job Worker)
Registration No.
SL Date of receipt Challan No. Description Tarrif Total Identifi Nature of Quantity of Waste Loss or gain Quantity of Invoice Quantity Particul Date of export
No. and date of Goods Classificatio Quantity cation Prosessing finished obtained in finished No. & date of waste ars of if the finished
n chapter Received marks. goods processing goods cleared ARE-1 material paymen goods are
heading / If any obtained No. & returned / t of cleared for
sub Heading after Date cleared duty on exports
processing waste
materia
ls

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