THE GOA VALUE ADDED TAX RULES, 2005 FORMS
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Form VAT - XXIV

[See rule 14(v))]

Application by an Employer for the grant of Registration under Section 28

(1) of the Goa Value Added Tax Act, 2005. (Act 9 of 2005)

To,

The Appropriate Assessing Authority,

_______________Ward.

1.	Name of the Employer	:
2.	Permanent address of the Employer	:
3.	Nature of works contracts awarded	:
4.	Value of works contracts awarded	:
5.	Date of tax deduction at source	:
6.	Date of crediting contractor's accounts towards the payment of tax deducted at source

Place :

Date:		_______________________ Signature of the Employer