FORM 3-A

[See Rule 7]

DECLARATION

I,.......................... a dealer holding TIN............................... under the Madhya Pradesh Vat Act, 2002, hereby, declare that I have opted for composition under section 11-A of the Madhya Pradesh Vat Act. 2002 in respect of the works contract No. ..........................dated.....................for Rs.................. (in figures) ..................................................... (in words) and have been granted permission vide order No. ............... dated........................ by the ...........................(designation), .............................(Circle). The works contract is being executed in whole /*in part for and on behalf of me by......................... (name of the sub-contractor).................. (address) .......................... (TIN)..............................

OR

I,.............................. a dealer holding TIN..................... under the Madhya Pradesh Vat Act, 2002, hereby, declare that I have opted for composition under section 11-A of the Madhya Pradesh Vat Act, 2002 in respect of the works contract No ................... dated ....................for Rs. ................. (in figures) ................................ (in words) and have been granted permission vide order No ................ dated.................... by the ...........................(designation), .............................(Circle). The works contract is being executed by me in whole /*in part for and on behalf of ......................... (name of the contractor) ........... (address) ........................... (TIN) ............................

* Strike out whichever is not applicable.