List of purchase of goods against tax invoice in the State
To...........
A. List showing purchase of goods from registered dealers.
Name
R. C. No
DECLARATION
I,__________________________________(name in CAPITALS), hereby declare that the contents of the above lists and tables are true and correct and nothing has been concealed therein.
Note: An authorised person alone shall sign each page of this list. A list signed by any person not authorised or an unsigned list shall be treated as invalid.