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The Central Sales Tax (Orissa) Forms
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FORM X

(See rule 11-A)

Declaration under Rule 11-A of the Central Sales Tax

(Orissa) Rules, 1957

With reference to Rule 11-A of the Central Sales Tax (Orissa) Rules, 1957, it is hereby declared that Shri ..................................................................... son of Shri .............................................................................. address .................................................................. is/shall be deemed to be the Manager in relation to the business in the

State of Orissa of the dealer mentioned below:-
1 Name(s) and style(s) of the business carried on (i)
  by the dealer.  
2 Address(es) (ii)
3 Tax Payers' Identification Number., if any, (iii)
4 Status of the dealer (here enter whether Hindu  
  Undivided family, firm, Private Limited Company,  
  Public Limited Company, club, society or  
  other association).  
5 Status or relationship of the Manager in relation  
  to the business (here enter whether guardian,  
  trustee, Karta, partner or otherwise).  
6 Specimen signature (s) of the person who is or 1
  deemed to be the manager. 2
    3
    Signature(s) of the
  Date person(s) furnishing
    the declaration.

This declaration shall be signed-
(i) in the case of Hindu undivided family, by all the adult members thereof;
(ii) in the case of an association, club or society, by all members of its governing body;
(iii) in the case of a firm, by all its members;
(iv) in the case of private limited company, by all its directors or where there are no directors, by the authorised representative of the company nominated by the Chairman;
(v) in the case of a public limited company, by the Managing Agents, or where there are no Managing Agents, by the Managing Director or the Chairman of the Board of Directors and the Secretary;

(vi) in other cases, by the guardian or trustee, or other person carrying on business on behalf of another person, by the person on whose behalf the business is carried on, if not under disability.