The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-101D

FORM OF DECLARATION OF MANAGER ETC.

[See clause (e) of sub-rule (9) of rule 15]

I ___________________Son/ Wife of ________________________ Status __________________

of the business _______________________ Address ____________________________________

hereby declare that the following person(s) is/are Manager(s) or person(s) duly authorized in respect of the above business and all notices, orders and other communications of the Circle/Range office served on him or either of them, as the case may be, shall be binding for all purpose and intent.

Sl. No.

Name and designation

Name of Father/Husband

Address

Telephone No

Signature in token of acceptance

I further declare that any notice, order or communication served on the following persons in respect

of the above business shall be binding for all purposes and intent.

Sl No.

Name

Name of Father/Husband

Designation with reference to the business

Address with Telephone No.

Signature in token of acceptance.

D E C L A R A T I O N

I undertake to intimate to the Circle or range office, as the case may be, within three days, of any change occurring in any of the particulars given above, falling which it will be deemed that the persons are continuing in their respective posts or the authorisation made in respect of such persons in continuing and valid and their actions shall be binding for all purpose and intent.

Signature _________________________________ Date ___________________________