The Deputy/Assistant Commissioner
            (Address of the jurisdictional office) 

Subject:     APPLICATION TO AVAIL THE FACILITY OF FILING EXCISE RETURNS ELECTRONICALLY. 

1. Name of Assessee. 
     

2. Excise Control Code (15 digit Excise Registration No.)

3. Category of Excise return presently filed: ER1/ER-2/ER-3/Dealer Return. 
      

4. E-mail Address: 
      

5. Postal Address:  

(Please give a confidential e-mail address and the postal address to which the User Login ID, Password and the present Location Code of the jurisdictional range can be sent)  The 15- digit ECC will serve as User ID. 

6. I/We request that I/We may be permitted to file my Excise Return electronically.  I/We declare that I/We satisfy the conditions of Trade Notice No…................Dated….........................and shall observe the instructions given therein. 

            I/We undertake to indicate my/our 15-digit ECC in every challan used by me/us for remitting Excise duty in Banks. 

            If any difficulty is faced in filing the return electronically and getting an acknowledgement from the computer before the due date, I/We shall file manual returns as was done hitherto. 

Date:

Place:                                                                                                   Name and signature of the authorized person