FORM VAT 62

[Rule 75(3)]

Registration Certificate for Clearing or Forwarding Agent Omitted w.e.f. 1-4-2011

Registration No.

This is to certify that __________________________ (name of the business) , whose Principal place of business is situated at:

has been registered under the Rajasthan VAT Act, 2003 with effect from _________________

Names and address of proprietor / partners / directors, as the case may be are as follows :

The following is / are the additional place(s) of business within territorial jurisdiction of the undersigned :-

This certificate shall remain in force unless it is cancelled.