(See rule 65[1]&[3]]
(To be attached with Form VAT -01)
Photograph
.
Instructions:
a) Proprietor, in case of Proprietorship concern
b) All Partners, in case of Partnership firm
c) Managing Director or authorized signatory, in case of a Company
d) Karta, in case of Hindu Undivided Family
e) Authorized Signatory, in all other cases
1. Name of the Business : ______________________________
2. TIN ___________________________ / Registration No_________________/TOT/CT
7. Specimen signatures (i) ____________________ (ii)____________________________
8. Particulars of other persons who are authorized to receive notices and other
documents under the Act.
Declaration:
I/We declare that the person named above whose specimen signatures are appended in column 7 is authorized to act as a Business Manager for the above referred business for which application for registration is being filed under the Jammu and Kashmir Value Added Act,2005. His all actions in relation to this business will be binding on me/us. He is also authorized to receive notices and other documents under the Act. I/we also authorize the person/persons whose particulars are given in column 8, to receive notices and other documents under the Act and to act as my/our authorised signatory.
Signatories
(Please write names of all signatories and attach another sheet, if space is inadequate)
(Attach additional sheet if space is inadequate)
Verification
The above details are true and correct to the best of my knowledge and belief and that nothing has been concealed therein. I/we further declare that I/we shall inform the Department whenever there is a change in the information provided in this form.