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THE MAHARASHTRA STATE TAX ON PROFESSIONS TRADES, CALLINGS AND EMPLOYMENTS RULES, 1975. - FORMS
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FORM II-C

CERTIFICATE TO BE FURNISHED BY A PERSON WHO IS SIMULTANEOUSLY ENGAGED IN EMPLOYMENT OF MORE THAN ONE EMPLOYER.

(See rule 9A)

I ....................................................................... ( name ) ................................... ( address )

hereby certify that I am engaged in employments with the following employers.

Namely -

_____________________________________________________________________________________________
Name of the employer Address of the employer
_____________________________________________________________________________________________

1.

2.

3.

4.

5.

 
_____________________________________________________________________________________________

I shall get myself enrolled and shall pay the tax

and that I have got myself enrolled and have paid the tax/shall pay the tax I hold the enrollment

Certificate No. ................................ dated...............................
   
Place................................. ....................................
Date................................ Signature

Note: Strike out whichever is not applicable.