Annual Installed Capacity Statement

1

Name of the manufacturer:

2

Address of factory

3

Central excise registration number

4

(i) Annual declaration

(ii) Amendments to declaration already filed

(Pl.tick the approciate box)

5

Installed capacity as on :

6

Details of installed capacity of the factory

Sr No

Description of each class of goods manufactured

Unit of Measure

Annual Production Capacity

7

Details of main plant and machineries installed

Sr No

Description if Main machineries/Plant

Technical specifications (Make,Model,etc)

Year of Installation

8

Details of electricity connection

(a)

Name of electricity supplying company

(b)

Total number of electricity meters installed in the factory

( c)

(i) Electricity consumer number:

(ii) Electricity meter number(s)

(d)

Sanctioned electricity load:

(i) Unit of measurement(HP/KWh/others-specify)

(ii) Quantity

(e)

(i) Wheather captive power Plant installed

(ii) If so, its installed capacity

9

(i) I/We _________________ hereby declare that the information given above is true,

correct and complete in every respect to the best of my/our knowledge and belief

(ii)I/We am/are authorized to sign this declaration.

(Name in capital letters and signature of the assessee or authorised signature)

Place:

Date:

ACKNOWLEDGEMENT

Date of receipt

Y

Y

Place:

Date:

INSTRUCTIONS

1

In serial number 6, ' Each Class of Goods' means a broad category of

goods which are cleared/sold from factory.For example,for a pharmaceutical

unit,all types of tables,capsules and syrup will be regarded as different classes of goods

2

In serial number 7, 'Main machineries/plant' means the machineries/plant producing the final

product or intermediate product.For example, for a factory producing steel bar form iron ore,

the kiln(used for making sponge iron),furnace(used for making ingot)and rolling mill(used for making steel bar)

would be regarded as the main machinery/plant.

3

Where the excise duty is levied at specific rate, the same quantity measurement code as applicable for

payment of duty shall be used for providing installed capacity.

4

Wherever  quantity  codes appear,indicate relevant abbreviations as given below.

5

In case, any substantial expansion/addition of machineries is carried out during the year resulting in to

increase in the installed capacity by more than 25% of one class of product,an amendment to the declaration

should be filed within 30 days of commencement of production of these new machineries.

Quantities

Abbreviations

Quantities

Abbreviations

Centimetre(s)

cm

Metre(s)

m

Cubic centimetre(s)

cm3

Square metre(s)

M2

Cubic metre(s)

m3

Millimetre(s)

mm

Gram(s)

g

Metric tonne

mt

Kilogram

kg

Number of pairs

pa

Kilolitre

kl

Quintal

q

Litre(s)

l

Tonne(s)

t

Thousand in number

Tu

Number

u