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Questionnaire

Name of the Company: ___________________ Name of the Contact Person:

Financial Year: 2014-15 E-mail ID/ Mobile No.:

Table 1: Description Major Products/ Services

Sl. No. Product/ Service Name & Description* Gross Turnover (in Rs. Crore)
1.
2.
3.
4.
5.
Note: Please insert more rows if required /*- Please Provide Classification Code (HSN/National
Product Classification for Services Sector)

Table 2: Details of Central Customs Duty Paid for 2014-15 (in Rs. Crore)
Import of Goods (including Import of
Criteria
manufacturing inputs) Capital Goods
Value of Import
Basic Customs Duty (BCD)
Additional Duty of Customs (CVD)
Special CV Duty
National Calamity Contingent Duty (NCCD) (if
applicable)
Education Cess
Secondary & Higher Education Cess
Input Tax Credit Claimed
Net Customs Duty Paid to Tax Dept.

Table 3: Details of Central Excise Duty/ Service Tax Paid for 2014-15 (in Rs. Crore)

Indigenous Goods
(including Capital
Criteria Services
manufacturing Goods
inputs)
Value of Purchase
Basic Excise Duty
Special Excise Duty
Additional Excise Duty
Special Additional Excise Duty
Cesses & Surcharges
Input Tax Credit Claimed against CE
Service Tax
Cesses & Surcharges
Input Tax Credit Claimed against Service Tax
Net Tax (CE / Service Tax) Paid to Tax Dept.

1
Table 4: Taxes Paid to State Governments in 2014-15 (Please provide the information separately for each State of Operation) (in Rs.
Crore)

State of Operation: ______________________

Criteria Exempt VAT/CST Tax Paid/ Purchases of Diesel, Petrol & Purchases of Electricity
Transactions Transactions Collected Natural Gas
VAT/ Entry Value of Tax Paid Value of Tax Paid
CST Tax Purchase Purchase
A. Gross Turnover/ Sales
a) Local Sales
b) Inter-State Sales
c) Stock Transfer / Branch
Transfers
d) Foreign Exports
B. Inputs Purchased
(Goods)
a) Local Purchase
b) Inter-State Purchase
c) Branch Transfers
C. Capital Goods Purchase
a) Local Purchase
b) Inter-State Purchase
c) Branch Transfers
D. Works Contracts
E. Input Tax Credit (ITC)
Claimed
F. Net VAT Paid to Tax
Dept.

If the company does not sell to the consumers directly: please indicate what the wholesale and retail margins in these commodities are.

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