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Maharashtra Value Added Tax Rules, 2005 FORMS
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Form 110

(See sub-rule (1A) of rule 6)

Application for appointment/re-appointment as a member of the Tribunal under section 11 of the Maharashtra Value Added Tax Act, 2002.

To

The Selection Committee,

Maharashtra State,

c/o Deputy Secretary (Taxation-1),

Finance Department (Convener),

5th Floor, Mantralaya,

Madam Cama Marg,

Hutatma Rajguru Chowk,

Mumbai- 400032.

Sub:- Application for appointment/re-appointment as member of the Maharashtra Sales Tax Tribunal.

Sir,

I, the undersigned, do hereby indicate my willingness for appointment as a member of Maharashtra Sales Tax Tribunal. My details are as under:-

1. Name  
2. Present Designation (select whichever is applicable) --- Joint Commissioner of State Tax

--- Additional Commissioner of State Tax

--- Retired Joint Commissioner of State Tax/ Additional Commissioner of State Tax

--- Retired Tribunal Member

3. Residential Address  
4. Date of Birth  
5. Date of joining the Department of Sales Tax/State Tax  
6. Date of joining Maharashtra Sales Tax Tribunal (if applying for reappointment)  
7. Date of promotion to the post of

a) Joint Commissioner of Sales Tax/ State Tax

b) Additional Commissioner of Sales Tax/State Tax

 
8. Date of retirement from Department of Sales Tax/State Tax  
9. Date of retirement from Maharashtra Sales Tax Tribunal (if applying for reappointment)  
10. Postings held (emphasis on quasi-j udicial postings)
Post held Name of office Duration
Year Month
       
       
 
11. Gradation of last 5 years annual confidential reports (copies to be enclosed)
Year Gradation
   
   
   
 
12. Any other achievements (rewards, certificates, etc.) (copies to be enclosed)  
I, hereby solemnly state that, I do not have any financial or other interests which are likely to prejudicially affect my functions as a Member.

Date: Yours faithfully
  Signature:-
Place: Name of the applicant:-