Madhya Pradesh Profession Tax Rules, 1995 - FORMS
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FORM - 6

[See Rule 9]

Certificate to be furnished by a person who is simultaneously engaged in employment of more than one employer

I...................(Name of the person) engaged in employment with the following employers, namely :

	Name of employer	Address of the employer
	(1)	(2)
(1)	......................................................	......................................................
(2)	......................................................	......................................................
(3)	......................................................	......................................................
(4)	......................................................	......................................................

And that I shall get myself registered and pay the tax/I have got myself registered under the registration certificate No.......dated.........and shall pay the tax/*have paid tax stated therein myself.

Place.........................	......................................
Date..........................	Signature

*Strike out whichever is not applicable.