The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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"Form 10-A (See rule 12(1)(a) Provisional Registration Certificate (Counter foil)	"Form 10-A (See rule 12(1)(a) Provisional Registration Certificate
1. Provisional Registration Certificate No. ...........	1. Provisional Registration Certificate No. ...........
2. Name of the business ...............	2. Name of the business ...............
3. Name of the applicant...............	3. Name of the applicant...............
4. Applicant Status in business ..................	4. Applicant Status in business ..................
5. Address of the Principal place of business in Chhattisgarh ...................	5. Address of the Principal place of business in Chhattisgarh ...................
6. Nature of business ................	6. Nature of business ................
(i) Mainly Trading	(i) Mainly Trading
(ii) Mainly manufacturing	(ii) Mainly manufacturing
(iii) Mainly mining	(iii) Mainly mining
7. Additional place of business in Chhattisgarh	7. Additional place of business in Chhattisgarh
Place ..... Name ........ Address.....	Place ..... Name ........ Address.....
8. Particulars of godown/warehouse if any ...........	8. Particulars of godown/warehouse if any ...........
9. This Certificate is valid from dated -- ----- to -----------	9. This Certificate is valid from dated -- ----- to -----------
Seal	Seal
Date .......... Signature of the Commercial Tax officer	Date .......... Signature of the Commercial Tax officer