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The Jharkhand Value Added Tax Forms , 2005
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THE JHARKHAND VALUE ADDED TAX RULES, 2005

FROM JVAT 128

Certificate of Enrolment

[See sub-rule 4 of rule 45]

1 Enrolment Number-
2
 
D D M M Y Y Y Y
               
 
 
3 Circle –
4 Proprietor/ Partner / karta of a Hindu undivided family/Company, carrying on transport business in the trade name of ………………………………………………………………… ……………………………………………………………………………………………… having its only* Head/ Main office at ………………………………………………………………………………………………………………

In Jharkhand, has been enrolled as a* transporter/ carrier/ transporting agent/courier company under sub-section (1)(b) section 73 of the Jharkhand Value Added Tax Act,2005

5 **The dealer has Branch offices in Jharkhand at :
  a) Room/Flat No.
  b) Premises No. & Street
  c) City/ Town
  d) District
  e) Pin Code
  f) Telephone No.
6 PAN NO. of The Proprietor/ Firm/ Company

Seal of Registering Authority Signature of the Registering Authority
Date ……………………… Circle…………………

* Strike out whichever is not applicable

** annex Separate Sheet.