THE UTTARAKHAND (THE UTTARANCHAL VALUE ADDED TAX RULES, 2005) FORMS
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FORM XV

(See sub-rule (17)of rule 23 and sub-rule (16) of rule 30)

Register to be maintained in respect of Forms surrendered by Registered dealers and so cancelled by the Assistant Commissioner

Date	Name & address of the dealer surrendering the form	Registration Certificate No. and date of its Validity	Total number of forms surrendered	Serial No.		Reference to dealer's Ledger in Form XIV regarding entry of surrendered forms made therein	Reasons for surrender of forms	Signature of Assistant Commissioner	Remarks regarding details of destruction Or disposal Of surrendered forms along- with dated signature of Assistant Commissioner
Date	Name & address of the dealer surrendering the form	Registration Certificate No. and date of its Validity	Total number of forms surrendered	From	To		Reasons for surrender of forms	Signature of Assistant Commissioner
1	2	3	4	5(a)	5(b)	6	7	8	9

Note- Separate registers should be maintained for different types of Forms