Annexure-B For Excise Audit

ANNEXURE B
ASSESSEE PROFILE
1. Name and Address of the Assessee
2. Range and Division
3. Details of the Previous Audit
Internal Audit
Date of last Audit
Period covered
CERA Audit
Date of last Audit Period Covered
4. Whether SSI Unit, If so SSI Notification availed by them :

5. List of the items assessee under MRP assessment (Section 4A)/Transaction
Value(Sec.4):
Sl.
No.
Description of the
product
Classificati
on
Type of Clearance MRP assessment

(Section 4A) /Transaction Value (Section
4)
6. Details of goods manufactured and exemption claimed, if any:

S
N
O
Description
of the
product
Classificati
on
Rate of duty
Curre
nt
year
Previ
ous
year 1
Previ
ous
year 2
Exempti
on
Notificat
ion No.
& SI No.
Conditio
ns of
Notificat
ion if
any
7. Whether goods are procured under Central Excise (removal of goods at

concessional rate of duty for manufacture of excisable goods) Rules, 2001 or
goods are imported under Customs (import of goods at concessional rate of
duty for manufacture of excisable goods) Rules, 1996. If yes, please specify
name of such product.
8. Job work: (a) Whether assessee themselves do job work for other? If Yes,
provide details.
Sl.
No.
Description of goods
along with CETSH
Quentity
Value
Duty involved
(b) Whether assessee engages any job worker to do job work for
themselves? If yes, provide details.
Sl.
No.
along with CETSH
Quentity
Value
Duty involved
9. Production details
Commodity/
year
(indicate the
financial
years starting
with the
current
financial
year)
Com
modi
ty 1
Com
modi
ty 2
Com
modi
ty 3
Production
Clearance
for home
consumption
on duty
payment
Clearance
for home
consumptio
n without
duty
payment
Clearance
for export
on
payment
of duty
Qty
Qty
Qty
Qty
Value
Valu
e
Value
Valu
e
Clearance
for export
without
duty
payment
deemed
Export to
SEZ
Qty Valu
e
2011-12
2012-13
2013-14
2011-12
2012-13
2013-14
2011-12
2012-13
2013-14
10.Trading: Please furnish details as per proforma belowSl.

No.
along with CETSH
Quentity
Value
Duty involved
11.Marketing pattern i.e., whether sales are through factory Gate/ Depot/
Consignment Agents/ Stock transfer. Please give details in the proforma
below-Sl.
No.
along with CETSH
Quentity
Value
Duty involved
12.If any goods are sold through related pertions, the names and address of
such related persons may be provided.
13.Year wise Raw Materials Purchase/Consumed/Removed as such (Commodity
Wise)
Year
Raw Material
purchased
(Commodity wise)
Raw material
Consumed
(Commodity wise)
Raw Material Removed

as such (Commodity
wise)
Qty
Qty
Qty
Value
Value
Value
2012-13
2013-14
2014-15
(*)
14.Service Tax
Year
Payment for
Category of
Service
Receipt From
Category of
Service
Amount
Amount
2012-13
2013-14
2014-15
15.Details of duty payment during last three financial years

Year
(indi
cate
the
finan
cial
year
s
starti
ng
with
the
curre
nt
finan
cial
year)
Dut
y
pai
d
PL
A
(a)
Duty paid
input credit
Duty paid
capital
goods credit
Duty paid
service tax
credit
Total Duty
paid
through
cenvat
credit
Credi
t
Avail
ed
(b)
Cred
it
Avail
ed
(d)
Credi
t
Avail
ed
(f)
Credi
t
Avail
ed
(h)
[b+d
+f]
Credi
t
Utiliz
ed
(c)
Credi
t
Utiliz
ed
(e)
Credi
t
Utiliz
ed
(g)
Credi
t
Utiliz
ed
(i)
[c+e
+g]
Tota
l
Dut
y
paid
Perce
ntage
of
cenva
t to
the
total
duty
(j)
(k)
(c/j)%
(a+i
)
16.Details of the anti evasion cases booked (including cases where only AE 2
have been issued) during last three financial years and current financial year.
S NO
201112
201213
201314
Show Cause
Notice No. &
Date
Issue/ issues
involved
Amount of
duty
involved
Adjudicati
ng
authority
Present
Status
17.Details of show cause Notices issued during last three financial years and
current financial year.
S NO
Show Cause
Notice No. &
Date
Issue/ issues
involved
Amount of
duty
involved
Adjudicati
ng
authority
Present
Status
201112
201213
201314
18.Details of litigations ( Adjudication, Appeals and Court Cases, etc) Pending:
SI NO
ISSUE IN BRIEF
Duty + RF +
PP = Total
Amount
involved
Forum before
whom it is
pending
Period of
pendency
before the
present
deciding
authority
Signature of the Assessee

Annexure-B For Excise Audit

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ANNEXURE B

2. Range and Division

3. Details of the Previous Audit

4. Whether SSI Unit, If so SSI Notification availed by them :

Type of Clearance MRP assessment

6. Details of goods manufactured and exemption claimed, if any:

7. Whether goods are procured under Central Excise (removal of goods at

10.Trading: Please furnish details as per proforma belowSl.

Raw Material Removed

15.Details of duty payment during last three financial years

Signature of the Assessee

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