Form VAT XXXVIII

[See Rule 14A(5)]

CERTIFICATE

This is to certify that M/s./Shri./Smt. __________________________________________ (Trade Name________________________ ) is hereby authorized to conduct exhibition or event or programme in order to sell the goods or to promote the goods for sale thereat in terms of the Goa Value Added tax

Act, 2005.

1. VAT Registration number TIN:

2. Ward Office:

3. Name of the Applicant:

4. Principal place of business:

5. Place of exhibition or event or programme:

6. This Certificate is valid from ________ to ___________.

7. Commodities dealt with (List of dealers and commodities dealt in may be enclosed separately):