THE PUNJAB VALUE ADDED TAX FORMS, 2005.
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FORM VAT - 36A

[See rule 65]

Application for issue of Form VAT- 36

PART - A

The Designated Officer,

Place. _____________________,

District _________________________,

1. I ______________________ Proprietor /Managing Partner/Managing Director/ General Attorney / Head of Department (or any other Joint Officer / Officers duly authorised by him in writing) of the below mentioned firm hereby apply on behalf of the firm for issue of ____ (number) Form VAT-36.

2. List of the _______ (number) used Form VAT-36 from serial number ___________ to serial no. ______ is attached herewith.

3. List of the _______ (number) FORM VAT-36 in transit with serial number __________to serial number __________ is also attached herewith.

	Signature of the applicant _________________
	Name ________________________________
	Status ________________________________
Place_____________________________	Name of the firm : _______________________
	Address ______________________________
Date: ____________________________	_____________________________________
	VRN Number___________________________

PART - B

(To be retained in the office of Designated Officer)

1	Number of Form VAT-36 in possession of the taxable person including issued Punjab General Sales Tax Act, 1948.
2	Number of Forms issued against this application
3	Serial Number of Forms issued	From:	To:
4	Date of issue of Forms
5	Total Number of Forms available with the taxable person.
6	Signature of the taxable person in token of having received the Forms mentioned in row 3.
7	Counter signature of the Designated Officer

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PART - C

To be affixed on the Register of the taxable person)

1	Number of Forms VAT-36 in possession of the taxable person
2	Number of Forms issued against this application
3	Serial Number of Forms issued	From:	To:
4	Date of issue of Forms
5	Total Number of VAT-36 Forms available with the taxable person.
6	Signature of the taxable person in token of having received the forms mentioned in row 3.
7	Counter signature of the Designated Officer.