THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 7

Declaration under section 27D in respect of the manager and all other officers.

[See rule 13]

To,

The Assessing Authority of the .......................................Charge,

I, ....................................................., *son /daughter of ................................................................and *proprietor or proprietress /Partner/ Karta/ Managing Director/ Director/ Secretary of a Company /Trustee of a Trust/President/ General Secretary of a Statutory body/ Co-operative Society/ any Association of persons/ Others carrying on business under the trade name of ........................................................... having principal place of business in West Bengal situated at .......................................................................................... and having registration under the West Bengal Value Added Tax Act, 2003 bearing No. ....................... declare under section 27D of the said Act, name of the manager and all other officers of other designation who are responsible for ensuring compliance with any requirement under the Act, as below:

The above statement is ture to the best of my knowledge and belief. I undertake that any change in the aforesaid particulars shall be sent to you within thirty days of such change. This declaration supercedes my previous declaration in Form 7 submitted to you on ..........................(date).

Date.......................

Signature............................................

Status.............................................

*Strike out whichever is not applicable.