FORM 3
Declaration
[See Rule 7 (1)]
DECLARATION
I, ____________________a dealer holding registration certificate No._____________ under the Chhattisgarh Value Added Tax Act, 2005, hereby declare that I have paid the tax payable by me under Section 8 in respect of the goods, particulars of which are given below, supplied by way of sale in the course of execution of a works contract for __________ (herein give particulars of the work) being executed by me in whole /*in part for and on behalf of (name of the contractor) ________ (address) _______ (registration certificate No. )__________.
Particulars of goods supplied in the execution of the works contract