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    2 (1) - Form 102 - Print

    Uploaded by

    Praveen Sehgal
    1. Arya International has submitted an application for refund of customs duty amounting to Rs. 1,75,000/- that was paid under notification 50/2021 dated 15th September 2021. 2. They have enclosed 15 documents including bills of entry, duty payment challans, sales invoices, correlation certificates, and board resolution, in support of their refund claim. 3. The applicant declares that the refund claim particulars are true, the amount has not been previously claimed or paid, and the excess duty has not been passed to any other person.

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    © All Rights Reserved
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    2 (1) - Form 102 - Print

    Uploaded by

    Praveen Sehgal
    1K views4 pages
    1. Arya International has submitted an application for refund of customs duty amounting to Rs. 1,75,000/- that was paid under notification 50/2021 dated 15th September 2021. 2. They have enclosed 15 documents including bills of entry, duty payment challans, sales invoices, correlation certificates, and board resolution, in support of their refund claim. 3. The applicant declares that the refund claim particulars are true, the amount has not been previously claimed or paid, and the excess duty has not been passed to any other person.

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    2[1]. Form 102 - Print

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    1. Arya International has submitted an application for refund of customs duty amounting to Rs. 1,75,000/- that was paid under notification 50/2021 dated 15th September 2021. 2. They have enclosed 15 documents including bills of entry, duty payment challans, sales invoices, correlation certificates, and board resolution, in support of their refund claim. 3. The applicant declares that the refund claim particulars are true, the amount has not been previously claimed or paid, and the excess duty has not been passed to any other person.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    1K views4 pages

    2 (1) - Form 102 - Print

    Uploaded by

    Praveen Sehgal
    1. Arya International has submitted an application for refund of customs duty amounting to Rs. 1,75,000/- that was paid under notification 50/2021 dated 15th September 2021. 2. They have enclosed 15 documents including bills of entry, duty payment challans, sales invoices, correlation certificates, and board resolution, in support of their refund claim. 3. The applicant declares that the refund claim particulars are true, the amount has not been previously claimed or paid, and the excess duty has not been passed to any other person.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    Customs Series Form No.

    102
    (See regulation 2)
    Application for refund of duty/interest
    PA!"A
    To,
    The Assistant / Deputy Commissioner of Customs
    ICD, Tuglakabad,
    Delhi
    We wish to lodge this claim for refund of customs duty i.e. additional duty of customs
    leied u/s !"#$ of the Customs Tariff Act, %&'# as per details gien below(
    Sl.
    No. Particulars emar#s
    % Import document ")ill of *ntry$
    +,umber and Date
    !-#./%% %-.0&.-0%!
    !!.&%-! -#.0&.-0%!
    !#.%-%! %'.%0.-0%!
    !#.//%! %/.%0.-0%!
    !'/-#'0 %-.%%.-0%!
    !/-%1!% %..%%.-0%!
    !/!'%'% %/.%%.-0%!
    1%&/.1' -'.%-.-0%!
    1!#1!#1 %#.0%.-%1
    11-.%'' --.0%.-0%1
    11!%//# -!.0%.-0%1
    1&/&/0# -1.0!.-0%1
    #00/.!0 -#.0!.-0%1
    #-01/1' %#.01.-0%1
    - Duty deposit reference "T2+. Challan
    ,o. and date
    -00'%0!/%% -%.0&.-0%!
    -00'%&1-0- 0#.%0.-0%!
    -00'!%1%&% -1.%0.-0%!
    -00'!-0!!' -!.%0.-0%!
    -00'1&--1# -0.%%.-0%!
    -00'#%.'1' -!.%%.-0%!
    -00'#100%# %/.%%.-0%!
    -00'''%''. !%.%-.-0%!
    -00'&!00#1 -!.0%.-0%1
    -00'&1./&. -1.0%.-0%1
    -00'&.0!!' -'.0%.-0%1
    -00/10#/0% -'.0!.-0%1
    -00/1--/!! -#.0!.-0%1
    -00/#..0#. -%.01.-0%1
    ! Description of goods 2efer 3AD Co+relation statement
    1 ,ame and address of
    "a$ Importer

    A24A I,T*2,ATI5,A6
    76AT ,5 8 -/+A, 9/7, :5C;*T +.,
    <I9 <A4=2 >I?A2, :?A3* 8 !, D*6?I + &.
    "b$ Customs ?ouse Agent </s A. > 9lobal Corporation ":$ 6td.
    -0%, ,ew Delhi ?ouse,
    )arakhamba 2oad,
    ,ew Delhi 8 %%0 00%
    "c$ Applicant A24A I,T*2,ATI5,A6
    76AT ,5 8 -/+A, 9/7, :5C;*T +.,
    <I9 <A4=2 >I?A2, :?A3* 8 !, D*6?I + &.
    # 2efund Claim under section -'"%$
    "a$/section -'"%$"b$ of the Act.
    under section -'"%$"b$
    . 9round of claim Cus ,otification %0-/-00',
    dt( %1+3ept+0'
    ' Amount of refund claim
    s.$%1&%0'(/"
    / Amount of <odat credit aailed from
    the additional duty of customs paid
    and now coered by the refund
    claim
    ,I6
    &
    *nclosures@ "in original$ in support of
    refund claim (
    "@ :lease put a tick mark " $ against the
    document being enclosed$
    "a$ 6etter of authorisation from the
    importer/buyer in case the applicant is
    an agent.

    ,ot Applicable
    "b$ Triplicate copy of )ill of *ntry/:ost
    parcel wrapper/3hipping )ill/)aggage
    2eceipt or the :urchase Inoice

    "c$ Duty Challan/5ther document as


    eidence of duty payment

    "d$ 3igned working sheet for the


    amount of refund claimed

    "e$ Customs attested inoice


    ,ot Applicable
    "f$ Customs attested packing 6ist ,ot Applicable
    "g$ Documents for establishing the
    applicantAs eligibility to receie the
    refund amount in terms of the proiso
    "i.e 3ales Inoices, Co+relation
    certificate and unBust enrichment
    to sub+ no section "-$ of section -' of
    the Act, including documents C.% for
    the purposes of sections -/C and -/D
    of the Act.
    certificates by Chartered Accountant,
    3elf Declaration for unBust
    enrichment $
    "h$ Contract and :urchase order ,ot Applicable
    "i$ <odat credit certificate from
    Central *Dcise authorities
    ,ot Applicable
    "B$ 5rder in original /in reision/in
    Appeal/any other order
    "i.e. )ill of *ntry$
    "k$ 3hort deliery certificate from
    custodian
    ,ot Applicable
    "l$ 3hort shipment certificate from
    supplier ,ot Applicable
    "m$ 3urey report ,ot Applicable
    "n$ Insurance claim settlement
    certificate
    ,ot Applicable
    "o$ Catalogue/technical Write+
    up/6iterature ,ot Applicable
    "p$ )ills for 7reight/Insurance/5ther
    charges
    ,ot Applicable
    "E$ Certificate of origin
    ,ot Applicable
    "r$ Any other document considered
    necessary in support of the claim
    "specify$

    %. 5utput TaD :aid Challan
    -. :urchase Inoice
    !. )oard 2esolution for AuthoriFed
    3ignatory
    "s$ Total ,umber of documents
    enclosed
    %!
    %0 Any further details deemed necessary
    and releant to the refund claim ,o
    %% Whether any other refund claim
    filed/pending against the same
    Import/*Dport document ")ill of *ntry,
    3hipping )ill etc.$. If yes, gie details. 4es/,o
    %- Whether personal hearing reEuired or
    not before the case is decided
    4es/,o
    %! "a$ Whether the duty has been paid
    under protest 4es/,o
    %! "b$ If yes, Customs ?ouse protest
    registration ,o.
    ,ot Applicable
    )*C+AA!,-N
    I/We M KUMAR in my capacity as authorized signatory of M/s. ARYA
    INTERNATIONA here!y dec"are that#
    $a% the contents of the refund c"aim as per form a!o&e are true and correct to the !est of
    my/our information and !e"ief'
    $!% the amount and the ground for (hich this refund c"aim has !een fi"ed has not !een
    pre&ious"y c"aimed and paid' and that
    $c% the e)cess duty c"aimed as refund has not !een passed on to any other person !y the
    importer/!uyer .
    *ate+ ,-
    th
    .eptem!er /0,1 .ignature of the app"icant

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