| FORM 1 |
| (Section 7(1) and 7(2)) |
| ACCOUNT OF GOODS MANUFACTURED AND DISPOSED OF DURING THE MONTH |
| NAME OF MANUFACTURER __________________________________ |
| REGISTRATION NUMBER ____________________________________ |
| Date | Quantity Manufactured According to Weight, Value or Number | Disposal | Balance on hand | Signature of Manufacturer |
| | Delivered for home consumption on which Tax payable | Delivered tax free – eg. Exports or on representation | Loss by leakage evaporation or absorption | Quantity on which duty remitted by Comptroller | | |
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