Form VAT XXI

[See rule 56 of the Goa Value Added Tax Rules, 2005]

APPLICATION FOR ENROLLMENT AS A COMMERCIAL TAX PRACTITIONER

To,

The Commissioner of Commercial Taxes,

Panaji.

I, ........................................................... (address of the office/residence) ............................................................................................... hereby apply for enrolment of my name in the list of Commercial Tax Practitioner under Rule 56 of the Goa Value Added Tax Rules, 2005.

I, declare that I am qualified to attend before any Commercial Taxes Authorities under section 82 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005), in accordance with Rule 56 of the said Rules, in that.

(1) I am retired Officer of the Commercial Taxes Department of ............................... State and while in service I had worked as ............................................................ which is a post not lower in rank than that of Commercial Tax Inspector and that I have retired from service on superannuation/voluntary retirement before one year.

(2) I state that I posses the qualification mentioned in Rule 56 of the Goa Value Added Tax, Rules, 2005. Certified copies of certificates/degree/diploma, etc. alongwith originals and 2 copies of my latest photographs are enclosed herewith.

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

The original documents sent herewith be returned to me after verification.

ACKNOWLEDGMENT

Received an application in Form VAT XXI from ................................................ alongwith enclosures stated below for enrolment under Rule 56 of the Goa Value Added Tax Rules, 2005.

Enclosures received:

(1)

(2)

(3)

N. B.: Originals will be returned after verification.