The Gujarat Value Added Tax Rules, 2006
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FORM-110

[See rule 18A(4)]

Certificate of Entitlement

1.	Name of Dealer	:
2.	Address	:
3.	Registration No. under the Gujarat Sales Tax Act, 1969	:
4.	Registration No. under the Gujarat Value Added Tax Act, 2003	:
5.	Number and date of Government Resolution under which the Eligibility Certificate was issued by the Industries Department	:
6.	The amount of incentive granted under the Eligibility Certificate issued by the Industries Department	:
7.	Period for incentive granted under the Eligibility Certificate issued by the Industries Department	:
8.	Number and date of Government Resolution under which the Exemption Certificate was issued by the Commissioner under the earlier law.	:
9.	The amount of incentive granted under the Exemption Certificate.	:
10.	Period for incentive granted under the Exemption Certificate.	:

Conditions:-

(1) This certificate ;is issued subject to the conditions prescribed under Chapter IV-A.

(2) The eligible unit shall avail tax incentives only for the balance amount as on appointed day and for the period shown in the Eligibility Certificate issued by the Industries and Mines Department.

(3) The eligible unit to whom Eligibility Certificate issued after coming into force these rules, shall avail tax Incentive for the amount and the period shown in such Certificate.

(4) This certificate shall cease to operate immediate on expiry of monetary limit of the unit or time limit, whichever is earlier.

Place:	Deputy Commissioner of Commercial Tax
Date:	Circle...............