(appended To Form 101) Form 101e (see Rule 14) Additional

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(Appended to Form 101) FORM 101E (See rule 14) Additional information of business Registration No…………………….. …. Name of dealer: Address of dealer:

Capacity & Production : (a) Capacity: Unit (M.T) Licensed Capacity:

Quantity

Value (Rs.

Installed Capacity: (b) Production: Commodity: HSN Code

M. T.

Total Value of Plant & Machinery:

Value

Actual Production: No. of persons employed Electricity Consumer No. Consumption(Annual)

Unit

Amount

Electricity Fuel for Captive Power Plant

Date :

Signature & status

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