Annexure-28 Serial Number______/___-___ (Financial Year). Range............................ Division.......................... Commissionerate FORM C.T.2 Certificate for procurement of excisable goods under Procedure For Export Warehousing (Rule 20) This is to certify that, (1) Mr./Messers. ______________________________(Name and address) is/are registered under rule 9 of Central Excise (No.) Rules, 2001 in this Range, having registration number__________________________________. He has also furnished a Bond in Form for Rs___________________ which has been accepted by the Assistant Commissioner of Central Excise or the Deputy Commissioner of Central Excise in F.No. _______________________ on the _________day of the ___________(month) ___________ (Year). (2) The above-said registration authorises him/her/them to obtain ______________________(Name of the product) falling under Tariff subheading ________________________of the Central Excise Tariff Act, 1985 at nil/concessional rate of _______[rate of duty to be furnished - in case of full exemption write "exempted"] under Notification No_________ dated _______ for the manufacture of ______________/use at ____________________ . Name and Signature of the Superintendent of Central Excise ["Seal"] Dated: (Address of the Range Office) (To be printed overleaf) -2-To be filled by End-User For Procuring Goods under the Export Warehousing procedure specified under rule 20 of the Central Excise (No.2) Rules, 2001 Name and address of the factory/ warehouse/place of storage of the supplier Registration Number of the factory/warehouse Details of the goods to be procured Sl. No. Description Quantity Value Duty involved I hereby declare that I have made a provisional debit of Rupees ............................................. (in both words and figures) in the Bond Account at serial No................................... dated ...... . and on this day, after the abovementioned debit, the balance in the Bond Account is Rs. ............. ( Dated signature of the Exporter(s) or his/ their authorised agents and their seal.