ANNEXURE-I ‘supporting Manufacturers/job workers Declaration required for Exports for ESSENTIALPHARMACEUTICALS ORSTYCO BALM for availing higher All industry Rate of Drawback. (Circulanno.54/2001-Cus Dated 19 th October, 2001) Description of the Goods CARBON STEEL PIPE FITTINGS & FLANGE. Invoice No. & Date NO.145 DT. 18-12-2018 NO.180___DT. 28-01-2019 ame and address of the Exporter along with the ‘name of the Jurisdictional Central Excise NILAM STEEL INDIA 44/3/4,1* Floor, Dawari Nagar, Gate No.2, Vokala Bridge, Santacruz (E), Mumbai — 400 055 Range Division MUMBAI NODAL DIVISION - 6 ‘Name of the Supporting Manufacturer(s) / job ‘worker(s) along with the name of the jurisdictional Central Excise Commissionerate BHAVYA FORGE AND FITTINGS (INDIA Division THANE RURAL | Range RANGE -1 ‘Address of the Manufacturing Unit(s) /Job Work Premises ‘47, PARMAR TECHNO CENTRE, PHASE I, PELHAR, VILLAGE, NEAR VASAI PHATA, VASAI-EAST, DIST. THANE - 401208 We declare that we have manufactured and suppling these goods to the above-mentioned exporters. We also undertake that in case itis discovered that the Cenvat facility has been availed by us or by our supporting manufacturers in respect of these exports goods, we shall return the excess drawback paid to us on the basis of above declaration. (Supporting manufacturer/job workers signature) FOR - BHAVYA FORGE AND FITTINGS (INDIA)