FORM 3-B

[See rule 7-A (1)] .

Application for grant of a certificate of recognition under Section 10-A of the Madhya Pradesh Vat Act, 2002

To,

The ............................ (Designation),

............................ Circle

I/we Proprietor / *Manager /Partner/Director of the business known as ............. being a registered dealer holding TIN ............................ under the Madhya Pradesh Vat Act, 2002 whereof the only/ *principal place of business is situated at ............................ Town /*village ............................tehsil ............................ district ............................ municipal ward No (for municipal areas only), do hereby apply for grant of a certificate of recognition under section 10-A of the Madhya Pradesh Vat Act, 2002.

2. I/we manufacture the following goods for sale:

(i)................. (ii) .................

3. This application for certificate of recognition is being made for the reason that the ................. (specify the goods) purchased are for consumption in the manufacturing process as specified by the State Government.

4. I do hereby state that what is stated herein is true to the best of my knowledge and belief.

* Strike out whichever is not applicable.