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Provided that "(a) the exemption shall be available to an exporter who,-
(i) informs the Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise, as the case may be, having jurisdiction over the factory or the regional office or the head office, as the case may be, in Form EXP1, before availing the said exemption
(ii) is registered with an export promotion council sponsored by the Ministry of Commerce or the Ministry of Textiles, as the case may be;
(iii) is a holder of Import-Export Code Number;

1. Name of the exporter.

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Service Tax Appeal No. 51475 Of 2018

2. Service Tax Registration No.

3. Division ......... Commissionerate ...............

4 Membership No. the Export Council

5 Name of the Export Council

6. Address of the registered / head office of exporter:

7. Tel. No. and e-mail ID of the exporter........:

8. Import -Export Code No..............

9.Details of Bank Account (Name of Bank, branch address and account number) I/we undertake that I/we shall comply with the conditions laid down in the said notification and in case of any change in aforementioned particulars, I/We shall intimate the same. Date: Place:

1. Name of the exporter
2. Address of the registered / head office of exporter
3. Tel. No. and e-mail ID of the exporter........:
4. Service Tax Registration No.
5. Division ......... Commissionerate
6. Membership No. Of the Export Council
7. Import Export Code No..............
8. Name of the Export Council 9 . Details of Bank Account Table A Details of goods exported (on which exemption of service tax availed) during the six months ending on................................