The Kerala General Sales Tax - Forms
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THE KERALS GENERAL SALES TAX RULES, 1963

FORM NO. 4B

See Rule 5 (29)(iii)

CERTIFICATE

CERTIFICATE No.

Date :

This is to certify that Sri .............................................., son of ........................................... (if trade name, the trade name shall also be given) has been issued certificate under sub-section 3A of Section 14 of the Kerala General Sales Tax Act, 1963 for conducting exhibitions, exchange melas or prize scheme at the following places and for the period mentioned below:

Place	Period		Nature of the Scheme
	From	To
(1)	(2)		(3)

This certificate is valid for the period stated in column (2) above.

This certificate shall be exhibited at a conspicuous place where the exhibitions, exchange melas or prize schemes conducted for which this certificate is issued.

	Name, signature of the Assessing Authority with date.