Form-d

GOVERNMENT OF TAMIL NADU COMMERCIAL TAXES DEPARTMENT TAMIL NADU VALUE ADDED TAX ACT,2006 FORM D CERTIFICATE OF REGISTRATION [See rule 5(1)(a)]

This is to certify that Tvl.

whose Principal place of business is situated at:

Additional place of business is situated at: 1 2 3

is registered as a dealer under the Tamil Nadu Value Added Tax Act, 2006 with Taxpayer Identification Number (TIN) with effect from

……….. Day of………………2007

Given under my hand and seal at ……………………..on the……………..day of……………2007

Place:

(Signature of Registering Authority) Name: Designation:

Date:

(Office seal)

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