ANNEXURE-11
AC-1
[Rule 17(2)]
Commissionerate ...........……
Division ……………………….
Range …………..……………
Name and Address of the Unit ……………………………………….
	
		| Date | Description
of goods | Opening balance | Quantity
manufactured | Total | Quantity cleared | Invoice
number
and date | Closing balance | Duty paid | Remarks | 
	
		| To domestic Tariff Area | For Export |  |  |  |  | 
	
		| 1. | 2. | 3. | 4. | 5. | 6. | 7. | 8. | 9. | 10. | 11. | 
	
		| . |  |  |  |  |  |  |  |  |  |  |