The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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FORM 14

[See Rule 11(3)]

Application for registration of persons liable for tax deduction at source

To,

The Commercial Tax Officer,

___________ Circle

I, hereby apply for a certificate of registration under Section 18 of Chhattisgarh Value Added Tax Act. 2005 as per particulars give below:

(1)	Name of the applicant ......................
(2)	Address of the principal place of work (Building/Street/Road/Municipal ward /
	Town/City/Tehsil/District) ..............................
(3)	Status of the person signing the form(Whether proprietor/partner/principal
	officer/agent/manager/director/secretary)..........................
(4)	Class of the person (whether individual/firm/company/corporation/society/club/
	association. etc.)........................
(5)	If registered under the Chhattisgarh Value Added Tax Act. 2005 Central Sales Tax Act. 1956
	the number of registration certificate:-
	(a) under Value Added Tax Act ........................
	(b) under Central Sales Tax Act. ............................
	(c) nature of supply/contract for which liability for tax deduction at source arises..............

Place .........................................

Signature ...................................

Date ...........................................

Status .........................................

(Strike out whichever is not applicable).

ACKNOWLEDGMENT

(Particulars of name and address to be filled in by the applicant)

Received an application for registration in Form-14

From :

Name of the applicant ..............

Full Postal Address......................................

Place.....................
Date......................	Signature of the receiving officer