THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 11

Certificate of Enrolment

[See sub-rule (2) of the rule 17]

Certificate of Enrolment Number

THIS IS TO CERTIFY THAT _____________________________________________________________ Proprietor/ Partner /Karta of a Hindu undivided family/ Company, carrying on transport business in the trade name of -----------------------------------------------------------------------------------------------------------------------------------, having its only * Head /Main Office at --------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- in West Bengal, has been enrolled as a *transporter/ carrier/ transporting agent under sub-section (1) of section 25 of the West Bengal Value Added Tax Act, 2003.

1. **The dealer has Branch Offices in West Bengal at :

a) Premises No. & Street

b) City/Town

c) District

d) Pin Code

e) Municipal/ Local body

f) Room/ Flat No.

g) Telephone No.

2. **The dealer has Branch Offices outside West Bengal at:

a) Premises No. & Street

b) City/Town

c) District

e) Pin Code

e) Municipal / Local body

f) Room/ Flat No.

g) Telephone No.

Date

Month

Year

3. Certificate of enrolment valid from

Date-------------------------

_________________________________

(Signature of the appropriate Registering Authority)

(Full name in block letters)

(Designation)..................................................................

(SEAL)

* Strike out whichever is not applicable.

** In case of more than one branch office use a separate sheet.

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