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<meta http-equiv="Content-Type" content="text/html; charset=iso-8859-1" />
<title>Form1</title>
<link href="css/personal_ledger.css" rel="stylesheet" type="text/css" />
</head>

<body>
<div id="page">
<div class="personal_ledger">
	
	<div class="table_1">
	<div style="width:300px; float:left; padding-left:5px; font-weight:bold;">
	
		<table width="100%" border="0" cellspacing="0" cellpadding="2">
  <tr>
    <td colspan="2" height="25px;">Name of the factory with address and Registration :</td>
  </tr>
  <tr>
    <td width="23%">M/S</td>
    <td width="77%"><input type="text" name="factory_name" style="width:200px;" /></td>
  </tr>
  <tr>
    <td>Address</td>
    <td><textarea style="width:200px;" name="address"> </textarea></td>
  </tr>
</table>



	</div> <!-- left div close -->

	<div style="width:325px; float:left;padding-top:35px; margin-left:80px; ">

		<center><strong style="font-size:20px">PERSONAL LEDGER ACCOUNT</strong></center>
		
		<br />
		
		
			<table width="100%" border="0" cellspacing="0" cellpadding="0">
  <tr>
    <td width="25%">E.C. Code No.</td>
    <td width="16%"><input type="text" name="ec_code" style="width:50px;"/></td>
    <td width="28%">For the Month of</td>
    <td width="31%"><input type="text" name="ec_code" style="width:100px;"/></td>
  </tr>
</table>

		
	
	</div> <!-- center div close -->

	<div style="width:170px; float:right; padding-right:20px;">

		<table width="100%" border="0" cellspacing="0" cellpadding="2">
  <tr>
    <td colspan="2" height="25px;" style="text-align:right;">Original/Duplicate/Triplicate</td>
  </tr>
  <tr>
    <td width="77%"><input type="text" name="factory_name" style="width:100px;" /></td>
    <td width="23%" style="text-align:right;">Commissionerate</td>
  </tr>
  <tr>
    <td width="77%"><input type="text" name="factory_name" style="width:100px;" /></td>
    <td style="text-align:right;">Division</td>
  </tr>
  <tr>
    <td width="77%"><input type="text" name="factory_name" style="width:100px;" /></td>
    <td style="text-align:right;">Range</td>
  </tr>

</table>

	
	</div> <!-- right div close -->

    <div class="cl"></div>
	
	
		</div><!-- Table 1 close -->

	<div class="table_2">
	
	  <div style="width:auto; overflow:hidden; margin-left:auto; margin-right:auto;">
		
				<table width="100%" border="0" cellspacing="1" cellpadding="2">
  <tr>
    <th>Date & Sl. No. of Entry</th>
    <th>Particulars of Credit/Debit Ducuments
	<hr />
	Description of Documents with name of Treasury where necessary	</th>
    <th>No. & Date</th>
    <th>C.E. Tariff Sub-Heading No.</th>
    <th>EC Code of the buyer</th>
    <th colspan="3">Basic Excise Duty</th>
    <th colspan="3">Education Cess</th>
    <th colspan="3">S & H Education Cess</th>
    <th colspan="3">&nbsp;</th>
    <th colspan="3">Cess on Commodities</th>
    <th colspan="3">Miscellaneous</th>
    <th>&nbsp;</th>
  </tr>
  <tr>
    <th>&nbsp;</th>
    <th>&nbsp;</th>
    <th>&nbsp;</th>
    <th>&nbsp;</th>
    <th>&nbsp;</th>
    <th>Credit</th>
    <th>Debit</th>
    <th>Balance</th>
    <th>7(i)</th>
    <th>7(ii)</th>
    <th>7(iii)</th>
    <th>8(i)</th>
    <th>8(ii)</th>
    <th>8(iii)</th>
    <th>9(i)</th>
    <th>9(ii)</th>
    <th>9(iii)</th>
    <th>Credit 10(i)</th>
    <th>Debit 10(ii)</th>
    <th>Balance 10(iii)</th>
    <th>Credit 11(i)</th>
    <th>Debit 11(ii)</th>
    <th>Balance 11(iii)</th>
    <th>12</th>
  </tr>
  <tr>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
    <td>&nbsp;</td>
  </tr>
</table>



</div>
	</div>
			


	<!-- Table 1 close -->




    <div class="cl"></div>
	
</div>

</div>

</body>
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