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‘THE MIZORAM VALUE ADDED TAX RULES, 2005 FORM — 32 APPLICATION FOR WAY BILL FOR THE TRANSPORT OF CERTAIN GOODS UNDER THE MIZORAM VALUE ADDED TAX RULES, 2005 [See rule - 96(3)] (To be prepared in Triplicate) To, (The Prescribed Authority) In accordance with the provisions of Rule 95 of the Mizoram Value Added Tax Rules, 2005, liwe hereby declate that the consignment of goods details of which are furnished below is transported to/from the State of Mizoram by me/us on my/our behaif by road/boat 1. (@)_Name and address of the person consigning the goods (b) fhe is a dealer, TIN under the Mizoram Value Added Tax Act, 2005 2. Full address of the place — (2) From which they are consigned, (b) —Towhich they are consigned 3, (a) Description of goods, (6) Quantity or weight (©) Value of goods, 4, (a) Name and address of the owner of vehicle or boat by which the goods are consigned (b) Registration No, of the vehicle or boat, 5. (a) _ I the consignor is transporting goods in pursuance of a sale, for the purpose of delivery to the buyer the name and address of the (b) The buyer's TIN under the Mizoram Value Added Tax Act, 2005, if he is a dealer (c) _ BillNo, relating to the sale with date 6 (a) If the consignor is transporting goods after purchasing them, the name and address of the seller (©) Billo. relating to the purchase with date 7, Ifthe consignor is transporting the goods from one of his shops or godowns to an agent for sale, or from one of his shops or godowns to another for purpose of storage or sale the name and address of the shop/godiown to which the transport is made. 63 \We declare that the particulars furnished are correct and true to the best of my/our knowledge and belief, /We undertake to surrender one copy of this declaration to the authority or officer to whom Ie have been directed to surrender it Date. Signature of the applicant Status in relation to dealer Address. Checked —A copy of this declaration shall be surrendered to the Superintendent of Taxes. Date..ccecscssseeeneeeee Signature of the Officer in-charge ‘Note — Copy of the declaration should accompany the goods for production on demand. 64

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