ANNEXURE - A FORM CT-3 No.________________ Date_________ FORM CT-3 Certificate for removal of excisable goods under bond This is to certify that : Mr./Messrs .......(Name and address) is/are bona fide licensee holding licence No....valid upto...... That he/they has/have executed a bond in Form B-17 (General Surety/General Security) No...date...for Rs..... with the Proper officer of Central Excise or Customs or Deputy Commissioner of Central Excise or Customs ....and as such may be permitted to remove... (quantity) of .....(excisable goods) from the unit at ....to their undertaking .....at........ That the specimen signatures of his/their authorised agent, namely, Shri.......are furnished here below duly attested. Specimen Signatures Sd/-Central Excise Officer in charge of the of the owner or his Attested export oriented undertaking / Electronic Authorised agent Hardware Technology Park (EHTP) unit/Software Technology Park (STP) unit.