1. Dealer's TIN
2. Purchase Statement:
zero-rate Goods
3. Goods Manufactured:
4. Sales Statement:
5. Computation of VAT:
6. Payment statement:
DECLARATION
I, ........................................ (Name in capitals), hereby solemnly affirm that I am authorized to furnish or file this return, and that the details/information furnished therein are true to the best of my knowledge, and nothing has been concealed therein.
Status: (Karta/Proprietor/Partner/Director/President/Secretary/Manager/Authorised officer)
(For office use)
1. Date of receipt:
2. Name & signature of the official making the data entry:
3. Name & signature of the Assessing Authority with date:
Acknowledgement
The undersigned acknowledges having received the original of this return on the date mentioned below
Date of receipt:
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