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 permanent account number), have during the previous year 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 House/Trading House Particulars relating to supporting
manufacturer
Sl. No. Invoice No.
and date &
shipping
Bill No. and
date
Port of
destination
Nature of
goods and
quantity
Amount of
export
turnover in
rupees
Bill No. and
date of
purchase
Nature of
goods and
quantity
Amount of
purchase in
rupees
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 Income-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/proprietor /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 companies registered in that State.
3. Where any of the matters stated in this report is answered in the negative or with a qualification, the report shall state the reason therefor.