THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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The West Bengal Value Added Tax Rules, 2005

FORM 91

CERTIFICATE OF ENROLMENT

[See sub-rule (1) of rule 46XB/sub-rule (1) of rule 46XC]

EARLIER STDS ENROLMENT NUMBER (if any) :	Date of Issue :
NEW STDS ENROLMENT NUMBER ALLOTTED :	R. C. No. (if any):

THIS IS TO CERTIFY THAT

.......................... (Name of the Contractee)

HAVING PARTICULARS AS UNDER:-

ADDRESS

DIVISION/BRANCH

CONSTITUTION

PAN/TAN

E-MAIL ID

NAME OF THE DDO

DESIGNATION OF DDO

TELEPHONE NO. WITH STD AND ISD CODE ............................. MOBILE No.

NAME OF THE CONTACT PERSON (OTHER THAN DDO):

TELEPHONE NO. WITH STD AND ISD CODE ............................. MOBILE No.

WHO IS A DEPOSITOR OF SALES TAX DEDUCTED AT SOURCE UNDER SECTION 40 OF THE WEST BENGAL VALUE ADDED TAX ACT, 2003 HAS BEEN ENROLLED AS A CONTRACTEE AND HAS BEEN ALLOTTED THE ABOVE NEW STDS ENROLMENT NUMBER WITH EFFECT FROM:

Date ..........

Sr.joint Commissioner/Joint Commissinor

/deputy Commissinor/sales Tax Officer

STDS Cell

Designation of Enrolling Authority

Place : 2nd building, 1st floor, Room no.119,

14, Beliaghata Road, Kolkata- 700015

Note :

1. The above Enrolment Certificate Number must appear on all the following documents of the dealer

(a) Form 18A, Form 19A, Challan/Account Statement;

(b) Applications and correspondences with the Commercial Taxes Directorate.

2. Any change in the information herinabove must be intimated immediately by the DDO to the STDS cell in writing for necessary amendment of the Enrolment Certificate.

3. The Contractee shall furnish printout of Form 19A within 45 days form the end of English Calendar Month during which the deduction is made along with printout of Form 18A and copy of challan/Account Statement in original to the STDS Cell at the above mentioned address.