FORM NO. 10CCAB

[See rule 18BBA(2)]

Certificate to be issued by Export House/Trading House to the

supporting manufacturer for purposes of clause (b) of

sub-section (4A) of section 80HHC

This is to certify that I/we*………………………………………………………………………………

(name and address of the Export House/Trading House with

…………………………………………………………………………………………………………, have during the previous year

permanent account number)

relevant to the assessment year ……………. exported goods or merchandise manufactured and sold to us by

M/s……………………………………………………………………………………………………………………………….

[name and address of the supporting manufacturer with permanent account number]

……………………………………………………………………………………………………………………………..………..

NECESSARY PARTICULARS ARE GIVEN HEREUNDER:

Particulars relating to Export

 Particulars relating to

House/Trading House

 supporting manufacturer

Sl. No. Invoice No. Port of Nature of Amount of Bill No. Nature of Amount of

and date & destination goods and export and date of goods and purchase

shipping quantity turnover purchase quantity in rupees

Bill No.

 in rupees

and date

1 2 3 4 5 6 7 8

That out of the total export turnover referred to in column 5 above amounting to Rs………………………………..,

I/we* confirm that I/we* have not claimed deduction under sub- section (1) of section 80HHC of the In-

come-tax Act, in respect of export turnover of Rs…………………….

 …………………………………

Signature of the principal officer*/

proprietor/partner of the Export

House/Trading House

Verification I

I,……………………………………………………………………………….… principal  officer/propri-

etor*/partner* of M/s……………………………..………………………………………………

(name and address of the Export House/Trading House)

do hereby declare that what is stated above is true and correct.

Verified today, the………….day of………….……..  ……….

Place……………………..

 …………………………..

Date………………………

 Signature of the principal officer/

*proprietor/*partner of the Export

House/Trading House

Verification II

I/We* have examined the accounts and records of ………………………………..…………………….

(name and address of the Export House/Trading House)

……………………………….. relating to the business of export out of India of the goods and merchandise

carried on by it during the previous year relevant to the assessment year………………………………

In *my/our opinion and to the best of *my/our information and according to the explanation given to *me/

us, the particulars given above are true and correct.

Date…………………

 ……………………….

Signed

$Accountant

Notes:

1. *Delete whichever is not applicable.

2.  $Verification II is to be made by-

(i) a Chartered Accountant within the meaning of the Chartered Accountants Act, 1949 (38 of 1949):

or

(ii) any person who, in relation to any State, is, by virtue of the provisions in sub-section (2) of section

226 of the Companies Act. 1956(1 of 1956), entitled to be appointed to act as an auditor of compa-

nies registered in that State.

3. Where any of the matter stated in this report is answered in the negative or with a qualification, the

report shall state the reason therefor.