FORM - E
(To be furnished in duplicate)*
"Statement of Form 'I' received for the quarter ending on Dt. ____/____/______
[See rule 7A of the Central Sales Tax (Orissa) Rules, 1957 and Rule 12(11) of CST (R&T) Rules]
Particulars of Sale of goods made to SEZ under Section 8(6) of the CST Act 1956 relating to the quarter ending on_______________
(n Rs.)
Form "I"
DECLARATION
I,_____________________________ (Name in Capital), submit herewith the Form 'I' in original hereby declare that the particulars furnished above are true and correct.
(Enclosure ............ No. of Forms 'I')
ACKNOWLEDGEMENT
(Received ............... numbers of Form 'I')
* - First Copy - To be retained by the office
Second Copy - To be handed over to the dealer