ANNEXURE-5
(In Duplicate)
(To be filed in the jurisdictional Range Office)
FORMAT FOR APPLICATION FOR OBTAINING
NEW EXCISE CONTROL CODE NUMBER
(Manufacturers/Registered Dealers/Warehouses)
To
The Deputy/Assistant Commissioner,
(Address of the Division).
Subject: Allotment of New Excise Control Code Number – Regarding -
Sir,
I/We may kindly be allotted New Excise Control Code Number (New ECC Number) for
which the details are as under: -
FORMAT FOR THE DETAILS (All entries shall be in BLOCK letters)
- Name of the Applicant(s) _________________________________________________
- Permanent Account Number _________________________________________________
(Issued by the Income Tax Department) (Attested copy to be enclosed)
- Applicant’s Factory/Warehouse/Registered Dealer’s Premise
(Strike whichever is not applicable)
Existing ECC Number :
Registration Number :
Address :
Telephone Nos. :
Fax Nos :
E-mail Address :
Range________________ Division______________ Commissionerate_______________
Location Code (6 digit – To be filled by the Range Office)
_________________________
- OTHER* Factories/Warehouses/Registered Dealer’s Premises
(Strike whichever is/are not applicable)
*[Each of these Factories/Warehouses/Registered Dealer’s Premises have to apply
individually in their own jurisdictional Range Office(s)]
Sl.
No. |
Name and
address |
Whether factory OR warehouse OR
Dealer |
Existing ECC
No. |
Registration
No. |
Tel. No
(s). |
| 1 |
2 |
3 |
4 |
5 |
6 |
| . |
|
|
|
|
|
| . |
|
|
|
|
|
| Fax No. |
E –Mail No. |
Range |
Division |
Commissionerate |
| 7 |
8 |
9 |
10 |
11 |
| . |
|
|
|
|
| . |
|
|
|
|
[Please furnish the aforesaid information for each of the other such factory(ies)
/warehouse(s)/dealer’s premise(s]
I/We hereby certify that the information given in this form is true, correct and
complete in every respect and that I am authorised to sign on behalf of the
applicant.
Date:
Place:
(Signature of the authorised person)
NOTE:
- Factories, registered dealers depots or warehouses shall use separate
application, as the case may be, for allotment of New ECC Number
- Location Code is to be filled by the Range Office based on the new codes
allotted by the Directorate of S & I.
- Telephone numbers/Fax Numbers/E-mail address are to be filled if available.
Acknowledgement
Subject: Allotment of New Excise Control Code Number – Regarding -
Your application for allotment of New ECC Number received on ____________ is
hereby acknowledged. The Receipt Number is _________________ dated ___________.
(Signature of the Sector Officer)
with Official Seal