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The Central Sales Tax (Orissa) Forms
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FORM-V-D

Register of 'H' Certificate Form maintained under Rule 6-D

of the Central Sales Tax (Orissa) Rules, 1957.

Date of receipt Authority from whom received. Book No. Serial No. Date of issue. Book No. Serial No. Name and address of seller to whom issued. No. and date of order in respect of which issued. Description of goods in respect of which issued. Value of the goods. Seller's Cash Memo./Challan No. in reference to which issued. Means of transport quoting and authority with No. & date. Surrendered to Sales Tax Authority, date. Remarks
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