AFFIDAVIT DECLARING THE LAND FOR GROWING EXCISABLE GOODS
 
Before the Collector of Central Excise and Customs . ................
 
Affidavit of A, aged about ………………..son of Shri ………………..resident of ………………..
 
I, A, aged about ………………..years, son of Shri ………………..resident of ………………..take oath and state as follows:
 
I, the above named deponent, hereby declare particulars in the Schedule below, of the land on which I grow excisable goods and the estimated quantity of excisable goods during the year ………………..I shall grow the excisable goods myself.
 
I, A, hereby declare that the information furnished herein is true and complete to the best of my knowledge and belief.
 
	Verified at this ………………..day of ………………..20  ………………..
 
Date: ………………..									Deponent

 
Schedule
 
1 . Village 	..................................................................................
2. Tehsil	……………….. ……………….. …………………….
3. District	..................................................................................
4. Plot No.	..................................................................................
5. Survey No.	..................................................................................
6. Area of land 	..................................................................................
7. Description of land specifying boundaries.
 
	North :		Field bearing 	Survey No  ………………..belonging to Shri  ………………..
	South:			“		“			”
	West:			“		“			“
	East:		Road
8. Goods to be sown . 
9. Estimated quantity of the goods to be grown on the land ................................