FORM ASTR-2
         (Application for filing a claim of rebate of duty paid on inputs, service tax and
                                    cess paid on input services)

                                       (PART A: To be filled by the applicant)
                                                                                                   Date.............
                                                                                                   Place............
To,
Assistant Commissioner of Central Excise/Deputy Commissioner of Central Excise
................................(full postal address).
Madam/Sir,
I/We.........................................,(name of the person claiming rebate) holding service tax
registration No. ................................................, located in............................... (address
of       the      registered        premises)     hereby         declare       that      I/We      have      exported
.......................................service (name of the taxable service) under rule 5 of the Export of
Service Rules, 2005 to ........................(name of the country to which service has been
exported), and service tax amounting to ......................... (amount in rupees of service tax) and
education cess amounting to ......................... (amount in rupees of cess) has been paid on
input services and duty amounting to ............ (amount in rupees of duty) has been paid on
inputs.
2.             I/We also declare that the payment against such service exported has already been
received in India in full.......................................................... (details of receipt of payment).
3.             I/We request that the rebate of the duty, service tax and cess on inputs and input
services used in providing taxable service exported by me/us in terms of rule 3 of the Export of
Service Rules, 2005 may be granted at the earliest. The following documents are enclosed in
support of this claim for rebate.
1.
2.
3.
Declaration:
      (a) We hereby certify that we have not availed CENVAT credit on inputs and input services
            on which rebate has been claimed.
      (b)      We have been granted permission by Assistant Commissioner of Central Excise or
            Deputy Commissioner of Central Excise, vide C. No. ______, dated ______ for working
            under notification No. _____ , dated _____ .

                                                                (Signature and name of the service provider
                                                                          or his authorised agent with date)







                          (PART B: To be filled by the sanctioning authority)
Date of receipt of the rebate claim:    ______________
Date of sanction of the rebate claim: ______________
Amount of rebate claimed:          Rs. ______________
Amount of rebate sanctioned:        Rs. ______________
         If the claim is not processed within 15 days of the receipt of the claim, indicated briefly
reasons for delay.


Place:
Date:
                                                                   Signature of the Assistant Commissioner/
                                                                    Deputy Commissioner of Central Excise.