FORM VAT - 601A

FORM OF APPPLICATION FOR ENROLMENT AS TAX DEDUCTING AUTHORITY

(See sub-rule (1) of rule 59A)

NAME OF THE TAX DEDUCTING AUTHORITY : ....................................................

Type of Organisation (Select One):

(i) Central Government:

(ii) State Government:

(iii) Any Local Authority:

(iv) Any Authority or Corporation established by or under a statute

(v) Any Company incorporated under the Companies Act, I956 (including any State or Central Government Undertaking:

(vi) Any Cooperative Society or any other Association registered under The Societies Registration Act, 1860 (21 of 1860)

In case of a Deducting Authority under Government of Odisha, please mention your Code assigned by Treasury (e.g. Division Code):

Village / Holding No.:

Locality / Ward No.:

Town / City:

PIN:

Mobile No................................................ Land Phone No..............................................

Fax No. ........................................... Email ID*;............................................................

DECLARATION

I ........................................... , Designation .................................. do hereby declare that the information provided above is correct and true to the best of my knowledge and belief.