FORM NO. 10CCABA
[See rule 18BBA(2A)]
Certificate to be issued by an undertaking in the Special Economic Zone to the manufacturer undertaking referred to in sub-section (4C) of section 80HHC, for purposes of provision to subsection (4) of section 80HHC

This is to certify that I/we_______________________________________(name and address of the undertaking in the Special Economic Zone with permanent account number) have during the previous year relevant to the assessment year_______________ for the purpose of manufacturing or producing any articles or things or computer software for export, purchased goods or merchandise sold to us by M/s____________________________________name and address of the undertaking referred to in sub-section (4C) of section 80HHC with permanent account number)
NECESSARY PARTICULARS ARE GIVEN HEREUNDER
Particulars relating to undertaking in the Special Economic Zone Particulars relating to undertaking referred to in sub-section (4C) of section 80HHC
Sl.
No.
Whether
eligible for
deduction
under
section10A
Nature of goods
manufactured for
export
Amount of export
turnover (in
rupees)
Bill No.
and date of
purchase
Nature of goods
and quantity
Amount of
purchase of
the goods
referred to in
column 6 (in
rupees)
Amount of goods
referred to in
column 6 used
for
manufacturing
the goods for
export (in
rupees)
1 2 3 4 5 6 7 8
Verification I
I,______________________________________________________principal officer/proprietor/partner of
M/s__________________________________________________________________________(Name and address of the
undertaking in the Special Economic Zone) 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 undertaking in the
Special Economic Zone
Verification II
I/We have examined the ____________________________________Accounts and records of_______________________________________(name and address of the undertaking in the Special Economic Zone) relating to the business of export out of India of any articles or things or computer software manufactured or produced by it during the previous year relevant to the assessment year_________ is Rs._________ 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 and the undertaking is eligible for deduction under section 10A. It is also certified that the undertaking has during the previous year_________________purchased goods/merchandise from the undertaking situated outside the Special Economic Zone,________________________(name and address of the undertaking situated outside the Special Economic Zone) for the purpose of manufacturing the goods/merchandise for export. Such goods have been utilized or are intended to be utilized for the purpose of manufacturing of goods for export and are not/not likely to be utilized for any other purpose.
Date:
Signed
Accountant
Note: Delete whichever is not applicable.