GOVERNMENT OF THE PEOPLE'S REPUBLIC OF BANGLADESH

NATIONAL BOARD OF REVENUE

VALUE ADDED TAX RETURN

[See rule 47(1)]
Mushak-9.1
[Please read the instruction before filling up this form]
PART - 1: TAXPAYER'S INFORMATION
1. BIN 003065823-0101

2. Name of Taxpayer PROVIDENCEBD.COM. LTD.

3. Address of Taxpayer KA-90, JHK Windcel (3rd Floor),Progoti Sharani, Kuril; Vatara PS; Dhaka - 1229; Bangladesh

4. Type of Ownership Private Limited

Manufacturing, Services, Retail/Wholesale Trading, Others (E-COMMERCE

5. Economic Activity
BUSINESS (SERVICES))

PART - 2: RETURN SUBMISSION DATA

1. Tax Period June, 2021
2. Type of Return A) Main/Original Return (Section 64)
[Please select your desired option]
Reason for Amendment

Yes No
3. Any activities in this Tax Period?

[If Selected “No” Please Fill Only the Relevant Part]

4. Date of Submission 14/07/2021

5. Last Amendment Date

Page 1 of 6
 PART - 3: SUPPLY - OUTPUT TAX

Value SD VAT
Nature of Supply Note
(a) (b) (c)

Zero Rated Direct Export 1

Goods/Service Deemed Export 2
Exempted Goods/Service 3
Standard Rated Goods/Service 4
Goods Based on MRP 5

Goods/Service Based on Specific VAT 6

Goods/Service Other than Standard

7 1,04,066.00 7,804.95
Rate
Retail/Wholesale/Trade Based
8
Supply

Total Sales Value & Total Payable Taxes 9 1,04,066.00 7,804.95

PART - 4: PURCHASE - INPUT TAX

Value VAT
Nature of Purchase Note
(a) (b)
Local Purchase 10
Zero Rated Goods/Service
Import 11
Local Purchase 12
Exempted Goods/Service
Import 13
Local Purchase 14
Standard Rated Goods/Service
Import 15
Goods/Service Local Purchase 16
Other than
Standard Rate Import 17

Goods/Service Based on Specific VAT Local Purchase 18

From Turnover
19
Tax Units
Goods/Service Not Admissible for Credit
From
(Local Purchase)
Unregistered 20
Entities
Goods/Service
Not Admissible for
Credit (Taxpayers
Local Purchase 21
who sell only
Exempted/
Specific VAT and
Goods/Service
Other than
Standard Rate/
Import 22
Credits not taken
within stipulated
time)
Total Input Tax Credit 23
Page 2 of 6
 PART - 5: INCREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source by the Supply
24
Receiver

Payment Not Made Through Banking Channel 25

Issuance of Debit Note 26

Any Other Adjustments 27 12,750.00

Total Increasing Adjustment 28 12,750.00

PART - 6: DECREASING ADJUSTMENTS (VAT)

Adjustment Details Note VAT Amount
Due to VAT Deducted at Source from the Supplies
29
Delivered
Advance Tax Paid at Import Stage 30

Issuance of Credit Note 31

Any Other Adjustments 32

Total Decreasing Adjustment 33

Page 3 of 6
 PART - 7: NET TAX CALCULATION
Items Note Amount (Tax)

Net Payable VAT for the Tax Period (Section- 45)

34 20,554.95
(9c-23b+28-33)

Net Payable VAT for the Tax Period after Adjustment

with Closing Balance and balance of form 18.6 [34- 35 20,554.75
(52+56)]

Net Payable Supplementary Duty for the Tax Period

36
(Before adjustment with Closing Balance) [9b+38- (39+40)]

Net Payable Supplementary Duty for the Tax Period

after Adjusted with Closing Balance and balance of 37
form 18.6 [36-(53+57)]
Supplementary Duty Against Issuance of Debit Note 38
Supplementary Duty Against Issuance of Credit Note 39
Supplementary Duty Paid on Inputs Against Exports 40

Interest on Overdue VAT (Based on note 35) 41

Interest on Overdue SD (Based on note 37) 42

Fine/Penalty for Non-submission of Return 43
Other Fine/Penalty/Interest 44
Payable Excise Duty 45
Payable Development Surcharge 46
Payable ICT Development Surcharge 47
Payable Health Care Surcharge 48
Payable Environmental Protection Surcharge 49
Net Payable VAT for Treasury Deposit
50 20,554.75
(35+41+43+44)
Net Payable SD for Treasury Deposit (37+42) 51

Closing Balance of Last Tax Period (VAT) 52 0.20

Closing Balance of Last Tax Period (SD) 53

PART - 8: ADJUSTMENT FOR OLD ACCOUNT CURRENT BALANCE

Items Note Amount
Remaining Balance (VAT) from Mushak-18.6, [Rule
54
118(5)]

Remaining Balance (SD) from Mushak-18.6, [Rule

55
118(5)]

Decreasing Adjustment for Note 54 (up to 30% of

56
Note 34)

Decreasing Adjustment for Note 55 (up to 30% of

57
Note 36)

Page 4 of 6
 PART - 9: ACCOUNTS CODE WISE PAYMENT SCHEDULE (TREASURY DEPOSIT)
Items Note Account Code Amount
VAT Deposit for the Current Tax
58 1 / 1133 / 0015 / 0311 20,555.00
Period
SD Deposit for the Current Tax Period 59 1 / 1133 / 0015 / 0711
Excise Duty 60 1 / 1133 / 0015 / 0601
Development Surcharge 61 1 / 1103 / 0000 / 2225
ICT Development Surcharge 62 1 / 1103 / 0000 / 2214
Health Care Surcharge 63 1 / 1103 / 0000 / 2212
Environmental Protection Surcharge 64 1 / 1103 / 0000 / 2213

PART - 10: CLOSING BALANCE

Items Note Amount
Closing Balance (VAT) (58-50-67+Not
Approved 65 0.25
Amount of VAT in Refund Module (If any))
Closing Balance (SD) [59-51-68+Not
Approved 66
Amount of SD in Refund Module (If any)]

PART - 11: REFUND

I am interested to get refund of my Closing Balance Yes No

Items Note Amount

Requested Amount
67
for Refund (VAT)

Requested Amount 68
for Refund (SD)

PART - 12: DECLARATION

Name: A.B.M SHAHIDULLAH

Designation: Manager

Mobile Number: 01708831048

National ID/Passport Number: 19837612243980604
Email: shahidullah@fashionglobe-bd.com
I hereby declare that all information provided in this Return Form are complete, true & accurate. In case
✔ of any untrue/incomplete statement, I may be subjected to penal action under The Value Added Tax and
Supplementary Duty Act, 2012 or any other applicable Act prevailing at present.

Signature
[Not required for electronic submission]

Page 5 of 6
 Sub-form of Part - 3.7: Goods/Service Based on Minimum Value Addition/Other Rates

Goods / Service
Goods / Service Value* SD VAT
Commercial Goods / Service Name Notes
Code* (a) (b) (c)
Description*

Ready-made garments Ready-made garments

marketing ( with & S078.00 marketing ( with & without own 1,04,066.00 0 7,804.95
without own brand) brand)

TOTAL 1,04,066.00 0 7,804.95

Sub-form of Part - 5.27: Any Other Adjustments

Challan Number Date Amount VAT* Notes*

.00 12,750.00 VAT Paid on Rent

TOTAL .00 12,750.00

Sub-form of Part - 8.58: VAT Deposit for The Tax Period

Treasury Challan
Branch/ CAFO or Tax Deposited Account
Number/ Token Bank/ CGA* Date* Amount* Notes
DCA* Code
Number*
343 Sonali Bank Ltd. Baridhara 12/07/2021 1 / 1133 / 0015 / 0311 7,805.00

336 Sonali Bank Ltd. Baridhara 12/07/2021 1 / 1133 / 0015 / 0311 12,750.00

TOTAL 20,555.00

Page 6 of 6