Application for Duty-Exemption for Ethyl Alcohol
 
This form may take you about 5 minutes to fill in.
You will need the following information to fill in the form:
  • Company information
  • Estimated annual consumption and brief description of usage
  • Particulars of applicant
Fields marked with asterisk(*) are mandatory
Company Information
Name of Company *  
Office Address *  
Business/Company Regn. No. *  
Central Registration (CR) No. *  
Contact Number *   Fax:      Tel:
E-Mail Address *  
Core Business Activities *
(max 600 chars)
 
Usage of Ethyl Alcohol
Estimated Annual Consumption *   Litres
Brief Description *
(max 600 chars)
 
Contact Person
Name *  
Designation *  
Tel No. *  
Declaration and Undertaking
I declare that the information contained in this form is true and correct and I undertake to inform Customs immediately of any change(s) to the particulars in this form.
  Applicant Name: * Designation: *