Form VAT XXXVII

[See Rule 14A(1)]

Declaration of the premises or space let out for conducting exhibition or event or programme

1. Name of the dealer/person:

2. Address:

3. Tel. No./Mobile Number:

4. TIN (if any):

5. Permanent Account Number (PAN) under the Income Tax Act, 1961:

6. Details of the property let out for conducting exhibition or event or programme along with copy of such agreement/lease deed, etc. entered into:

(i) Name and address of the space or premises where the exhibition or event or programme will be conducted:

(ii) Name and address of the person to whom the space or premises is let out for conducting the exhibition or event or programme:

(iii) Duration of the exhibition or event or programme: _____ days (From____________ to ______________)

Declaration

I/We hereby declare that the above statements and attached documents are true to the best of my/ /our knowledge and belief.