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
........................................................................................................................, have during the previous year
permanent account number)
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
 Particulars relating to
House/Trading House
 supporting manufacturer
Sl. No. Invoice No. Port of Nature of Amount of Bill No. Nature of Amount of
and date & destination goods and export and date of goods and purchase
shipping quantity turnover purchase quantity in rupees
Bill No.
 in rupees
and date
1 2 3 4 5 6 7 8
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 In-
come-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/propri-
etor*/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 compa-
nies registered in that State.
3. Where any of the matter stated in this report is answered in the negative or with a qualification, the
report shall state the reason therefor.