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

[See rule 15(2))]

Registration Certification for an Employer

Registration No. :

(1)

Name of the Employer

(2)

Permanent address of the Employer

(3)

TIN, if any

(4)

Nature of Works Contract

(5)

Date of validity of Registration Certificate Form ______________ to __________

Place :

Date:

_______________________

Signature of Assessing Authority

(Seal of Assessing Authority)

RENEWAL

Date of renewal	Period to which renewed	Signature of Appropriate Assessing Authority