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Central Sales Tax (Registration & Turnover) - Forms
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'FORM I'

[See Rule 12(11)]

COUNTERFOIL

The Central Sales Tax

(Registration and Turnover) Rules, 1957

Form I

DUPLICATE

The Central Sales Tax (Registration and Turnover) Rules, 1957

Form I

ORIGINAL

The Central Sales Tax (Registration and Turnover) Rules, 1957

Form I

Serial No. .............................

Issuing Authority ..........................

......................................................

Date of issue ..........................

Details of the SEZ dealer, to whom issued

(a) Name and address

......................................................

..........................................................

(b) Number and Date of Registration under the Central Sales Tax Act, 1956) (74 of 1956)

.....................................................

(c) Number and Date of Registration No. issued by the Development Commissioner, SEZ concerned, along with details of goods specified in the Certificate of Registration

.....................................................

.....................................................

Seal of the

Issuing Authority

To

..............................

................................

(Name and address of the Seller, with name of the State)

Certified that the goods

*[ordered for in our Purchased Order Number.......... ........Dated ............ and supplied by you as per your Bill/ Cash Memo/ Challan] Number ............ Dated ............ for an amount of Rs. .................. are for the purposes specified under sub-section (6) of Section 8 of the Central Sales Tax Act, 1956.

The above statements are true to the best of my knowlege and belief.

(Signature)

Name of the person signing the Declaration, on behalf of the SEZ dealer .................. ...................... Status of the persons signing the Declaration, in relation to the SEZ dealer ..................

* Strike out, whichever is not applicable.

(Note: To be retained by the SEZ dealer)

Serial No. .............................

Issuing Authority ........................

....................................................

Date of issue ..........................

Details of the SEZ dealer, to whom issued

(a) Name and address

....................................................

.....................................................

(b) Number and Date of Registration under the Central SalesTax Act,1956)(74 of1956)

....................................................

(c) Number and Date of Registration No. issued by the Development Commissioner, SEZ concerned, along with details of goods specified in the Certificate of Registration

.....................................................

.....................................................

Seal of the

Issuing Authority

To

..............................

................................

(Name and address of the Seller, with name of the State)

Certified that the goods

*[ordered for in our Purchased Order Number.......... ........Dated ............ and supplied by you as per your Bill/ Cash Memo/ Challan] Number. ............ Dated ............ for an amount of Rs. .................. are for the purposes specified under sub-section (6) of Section 8 of the Central Sales Tax Act, 1956.

The above statements are true to the best of my knowlege and belief.

(Signature)

Name of the person signing the Declaration, on behalf of the SEZ dealer .................. ...................... Status of the persons signing the Declaration, in relation to the SEZ dealer ..................

* Strike out, whichever is not applicable.

(Note: To be retained by the selling dealer)

Serial No. .............................

Issuing Authority .....................

................................................

Date of issue ..........................

Details of the SEZ dealer, to whom issued

(a) Name and address

.................................................

.................................................

(b) Number and Date of Registration under the Central Sales Tax Act, 1956)(74 of 1956)

................................................

(c) Number and Date of Registration No. issued by the Development Commissioner, SEZ concerned, along with details of goods specified in the Certificate of Registration

.................................................

.................................................

Seal of the

Issuing Authority

To

..............................

................................

(Name and address of the Seller, with name of the State)

Certified that the goods

*[ordered for in our Purchased Order Number.......... ........Dated ............ and supplied by you as per your Bill/ Cash Memo/ Challan] Number. ............ Dated ............ for an amount of Rs. .................. are for the purposes specified under sub-section (6) of Section 8 of the Central Sales Tax Act, 1956.

The above statements are true to the best of my knowlege and belief.

(Signature)

Name of the person signing the Declaration, on behalf of the SEZ dealer .................. ...................... Status of the persons signing the Declaration, in relation to the SEZ dealer ..................

* Strike out, whichever is not applicable.

(Note: To be furnished to the prescribed authority)