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The Assam Value Added Tax Rules, 2005. Forms
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THE ASSAM VALUE ADDED TAX RULES, 2005

FORM-5

[See Rule 13(13)]

CERTIFICATE OF REGISTRATION

General Registration No. (GRN)
GRN              
 

Effective Date :

 
D D - M M - Y Y Y Y
                   
 

This is to certify that the dealer, whose particulars are detailed below, has been registered under section________ of the Assam Value Added Tax Act, 2003.

(1) Name and style of the business

.

.

.

(2) Principal place of business.

.

.

.

(3) Name and address of the Proprietor/Partner/Director etc.

a)

b)

c)

d)

(4) Commodities dealt in
.

 

(5) Address of additional places of business/branches/warehouses or godowns, if any.

a)

b)

c)

d)

Place:

Prescribed Authority

Date :