VAT -06D

[See Rule 18(10)]

Application for opting to pay tax at full rate on the MRP

1. Date of Opting out to pay tax at full rate on MRP

2. Goods for which option is sought to pay tax at full rate on MRP:-

(i) Drugs and medicine as mentioned at S.No. 43 of Schedule IV.

(ii) Dietary supplements including nutritional supplements, protein supplements and health foods.

(iii) Toothpastes, soaps and creams as manufactured by pharmaceuticals industries under license issued under the drugs and cosmetics Act, 1940.

(iv) Chemicals and fertilizers.

(v) Others (Please specify)

Place	Signature
Date	Name
	Status

Verification

I verify that the above information is true and correct to the best of my knowledge and belief and nothing has been concealed.

Place	Signature
Date	Name
	Status