The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
-

FORM 41

[see rule 44(4)(a)]

Application for grant of a certificate under section 28 of the Chhattisgarh Value Added Tax Act, 2005

To,

The Commercial T ax Officer,

_______________(Circle),

I, __________________ (Name) of ________________________(Name of the business) __________________ (Address) holding registration certificate No_____________ under the Chhattisgarh Value Added Tax Act. 2005 request for grant of certificate under section 28 of the said Act. to be issued to _____________ (Name, designation and address of the authorized officer purchasing goods on behalf of the Central Government/State Government or Name and address of the person letting out a contract for

(1)	Description of goods ______________________
(2)	Date on which/period within which supplied ____________________
(3)	Purchase order/Contract No. and date ___________________________
(4)	Value of the purchase order/contract ___________________________

I hereby declare that the particulars given above are true to the best of my knowledge and behalf.

	(Signature of the applicant)
	with name and status.