Sub Form

For Import Purchase

SUB Form For Note 22

Serial Invoice/B/E Goods/ Services Commercial Goods/

Date Office Code Item No CPC (optional)
No. No. Description Services Code

1 2 3 4 5 6 7 8
1
2
3
4
6
Total
 Sub Form

For Import Purchase

SUB Form For Note 22

Assessable Value Base Valu Of VAT VAT

Goods/ Services Name SD AT Note

9 10 11 12 13 14 15
- - Note-11
- Note-13
- Note-15
- Note-17
- Note-22
- - - -
 Sub Form

For Local Purchase

SUB Form For Note 21

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Local Purchase

SUB Form For Note 20

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Local Purchase

SUB Form For Note 19

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Local Purchase

Sub Form For Note 18

Goods/ Services Goods/ Unit of Actual Sales /

Serial Goods/ Services Quantity SD VAT
Commercial Services Measure Purchase Value Notes
No. Name (b) (d) (e)
Description Code (a) (C)

1 - -

Total - - - -
 Sub Form
For Import Purchase
SUB Form For Note 17

Serial Invoice/B/E Goods/ Services Commercial Goods/

Date Office Code Item No CPC (optional)
No. No. Description Services Code

1 2 3 4 5 6 7 8
1
2
3
4
6
Total
 Sub Form
For Import Purchase
SUB Form For Note 17

Assessable Value Base Valu Of VAT VAT

Goods/ Services Name SD AT Note

9 10 11 12 13 14 15
- - Note-11
- Note-13
- Note-15
- Note-17
- Note-22
- - - -
 Sub Form

For Local Purchase

SUB Form For Note 16

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Import Purchase

SUB Form For 15
Assessable Base Valu Of
Serial Invoice/ Office CPC Goods/ Services Commercial Goods/ VAT
Date Item No Goods/ Services Name Value VAT SD AT Note
No. B/E No. Code (optional) Description Services Code

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

1 Note-11
- -

2 Note-13
-

3 C-264880 4-Apr-23 101 1 4000 3PCS SET PREMIUME 62042300.00 3PCS SET PREMIUME 109,857.20 203,894.96 30,584.24 10,194.75 Note-15

4 C-264880 4-Apr-23 101 2 4000 3 PCS SET SUPER 62042300.00 3 PCS SET SUPER 73,240.42 135,934.22 20,390.13 6,796.71 Note-15

5 C-264880 4-Apr-23 101 3 4000 3 PCS SET MEDIUM 62042300.00 3 PCS SET MEDIUM 73,564.50 136,535.71 20,480.36 6,826.79 Note-15

6 C-264880 4-Apr-23 101 4 4000 3 PCS ORDINARY 62042300.00 3 PCS ORDINARY 603,793.18 1,120,640.14 168,096.02 56,032.01 Note-15

7 C-264880 4-Apr-23 101 5 4000 SAREE SUPER 62044300.00 SAREE SUPER 125,554.08 233,028.37 34,954.26 11,651.42 Note-15

8 C-264880 4-Apr-23 101 6 4000 SAREE MEDIUM 62044300.00 SAREE MEDIUM 91,550.90 169,918.47 25,487.77 8,495.92 Note-15

9 C-264880 4-Apr-23 101 7 4000 SAREE ORDINARY 62044300.00 SAREE ORDINARY 942,172.62 1,748,672.38 262,300.86 87,433.62 Note-15

10 C-264880 4-Apr-23 101 8 4000 LEHENGA GORGIOUS 62042900.00 LEHENGA GORGIOUS 26,154.40 48,542.57 7,281.38 2,427.13 Note-15

11 C-264880 4-Apr-23 101 9 4000 LEHENGA ORDINARY 62042900.00 LEHENGA ORDINARY 104,628.43 194,190.37 29,128.55 9,709.52 Note-15

12 C-264880 4-Apr-23 101 10 4000 GOWN FLOOR TOUCS 62089900.00 GOWN FLOOR TOUCS 53,623.61 99,525.42 14,928.81 4,976.27 Note-15

13 C-264880 4-Apr-23 101 11 4000 MENS PANJABI (ORDINARY) 62079100.00 MENS PANJABI (ORDIN 286,096.14 530,994.44 79,649.17 26,549.72 Note-15

14 C-264880 4-Apr-23 101 12 4000 MENS T-SHITR 62059000.00 MENS T-SHITR 379,713.64 704,748.52 105,712.28 35,237.43 Note-15

15 C-264880 4-Apr-23 101 13 4000 BABY TROUSERS 62034900.00 BABY TROUSERS 41,361.51 76,766.96 11,515.04 3,838.35 Note-15

16 C-264880 4-Apr-23 101 14 4000 LADIES TOPS 61044200.00 LADIES TOPS 57,766.28 107,214.22 16,082.13 5,360.71 Note-15

17 C-264880 4-Apr-23 101 15 4000 MENS SANDLE 64059000.00 MENS SANDLE 41,034.57 76,160.16 11,424.02 3,808.01 Note-15

18 C-264880 4-Apr-23 101 16 4000 BABY WEAR 62099000.00 BABY WEAR 146,399.12 271,716.77 40,757.52 13,585.84 Note-15

19 C-264880 4-Apr-23 101 17 4000 IMITATION JEWELARY 71179000.00 IMITATION JEWELARY 222,338.32 341,511.66 51,226.75 17,075.58 Note-15

20 C-284290 9-Apr-23 101 1 4000 3PCS SET PREMIUME 62042300.00 3PCS SET PREMIUME 86,318.16 160,206.50 24,030.98 8,010.33 Note-15

21 C-284290 9-Apr-23 101 2 4000 3 PCS SET SUPER 62042300.00 3 PCS SET SUPER 57,547.24 106,807.68 16,021.15 5,340.38 Note-15
22 C-284290 9-Apr-23 101 3 4000 3 PCS SET MEDIUM 62042300.00 3 PCS SET MEDIUM 57,222.57 106,205.09 15,930.76 5,310.25 Note-15

23 C-284290 9-Apr-23 101 4 4000 3 PCS ORDINARY 62042300.00 3 PCS ORDINARY 467,348.70 867,399.19 130,109.88 43,369.96 Note-15

24 C-284290 9-Apr-23 101 5 4000 SAREE SUPER 62044300.00 SAREE SUPER 54,928.60 101,947.48 15,292.12 5,097.37 Note-15

25 C-284290 9-Apr-23 101 6 4000 SAREE MEDIUM 62044300.00 SAREE MEDIUM 45,773.38 84,955.39 12,743.31 4,247.77 Note-15

26 C-284290 9-Apr-23 101 7 4000 SAREE ORDINARY 62044300.00 SAREE ORDINARY 407,646.79 756,592.44 113,488.87 37,829.62 Note-15

27 C-284290 9-Apr-23 101 8 4000 GOWN FLOOR TOUCH 62089900.00 GOWN FLOOR TOUCH 320,423.84 594,706.65 89,206.00 29,735.33 Note-15

C-284290 9-Apr-23 MENS PANJABI (ORDINARY) MENS PANJABI

28 101 9 4000 62079100.00 (ORDINARY) 112,805.52 209,367.05 31,405.06 10,468.35 Note-15

29 C-284290 9-Apr-23 101 10 4000 BABY WEAR 62099000.00 BABY WEAR 52,477.14 97,397.57 14,609.64 4,869.88 Note-15

30 C-284290 9-Apr-23 101 11 4000 BLOUSE 62069000.00 BLOUSE 6,103.77 11,328.60 1,699.29 566.43 Note-15

31 C-284290 9-Apr-23 101 12 4000 IMITATION JEWELARY 71179000.00 IMITATION JEWELARY 1,747.47 2,684.11 402.62 134.21 Note-15

32 C-284290 9-Apr-23 101 13 4000 PRINTED FABRICS 54077400.00 PRINTED FABRICS 62,668.59 96,258.95 14,438.84 4,812.95 Note-15

33 Note-17

34 Note-22
Total 5,111,860.69 9,395,852.04 - 1,409,377.81 469,792.60 -
 gRy` DcKi‡bi cÖviw¤¢K †Ri

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2 00-05-2023 C-284290 9-Apr-23

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S.J Fabrics INDIA Garments Ware 9,160.00 6,199,995.33

S.J Fabrics INDIA Garments Ware 3,564.00 3,195,856.71

12,724.00 9,395,852.04

bv½ bvg,wVKvbv &I RvZxq cwiPq cÎ b¤^i h_vh_fv‡e mswkøô Kjv‡g [(7),(8) &I (9) AvewkKfv‡e D‡jøL |
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(13) (14) (15)=(3+11) (16)=4+12 (17) (18) (19)=(15-17)
929,999.30
309,999.77
479,378.51
159,792.84

- 1,879,170.41 -
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VAT
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 Sub Form

For Local Purchase

SUB Form For Note 14

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Import Purchase

SUB Form For Note 13
Goods/ Base Valu Of
Serial Invoice/ Office CPC Goods/ Services Assessable Value VAT
Date Item No Services Goods/ Services Name VAT SD AT Note
No. B/E No. Code (optional) Commercial Description
Code
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
1 - - Note-11
2 - - - Note-13
3 - Note-15
4 - Note-17
6 - Note-22
Total - - - -
 Sub Form

For Local Purchase

SUB Form For Note 12

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 Sub Form

For Import Purchase

SUB Form For Note 11

Serial Invoice/B/E Goods/ Services Commercial Goods/

Date Office Code Item No CPC (optional)
No. No. Description Services Code

1 2 3 4 5 6 7 8
1
2
3
4
6
Total
 Sub Form

For Import Purchase

SUB Form For Note 11

Assessable Value Base Valu Of VAT VAT

Goods/ Services Name SD AT Note

9 10 11 12 13 14 15
- - Note-11
- Note-13
- Note-15
- Note-17
- Note-22
- - - -
 Sub Form

For Local Purchase

SUB Form For Note 10

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-10
2 - Note-12
3 - Note-14
4 - Note-16
6 - Note-19
7 - Note-20
8 - Note-21
Total - - - -
 SUB Form

For Local Supply (Sale)

Sub Form For Note-8

Goods/
Goods/
Serial Services Goods/ Value SD VAT
Category Services Notes
No. Commercial Services Code (a) (b) (C)
Name
Description

1 Commercial Importer/ other traders - -

2 Petroleum product
3 Super-shop
4 Medicine related products
5 Other Business
Total - - -
 Sub Form

For Local Supply (Sale)

SUB Form For Note-7

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-3
2 - - Note-4
3 - - Note-5
4 - - Note-7
Total - - -
 Sub Form

For Local Sale

Sub Form For Note- 6

Goods/ Services Goods/ Unit of Actual Sales /

Serial Goods/ Services Quantity SD VAT
Commercial Services Measure Purchase Value Notes
No. Name (b) (d) (e)
Description Code (a) (C)

1 - -

Total - - - -
 Sub Form

For Local Supply (Sale)

SUB Form For Note 5

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-3
2 - - Note-4
3 - - Note-5
4 - - Note-7
Total - - -
 Sub Form

For Local Supply (Sale)

SUB Form For Note-4

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-3
2 3PCS SET PREMIUME 62042300.00 3PCS SET PREMIUME 275,446.11 - 41,316.92 Note-4
3 3 PCS SET SUPER 62042300.00 3 PCS SET SUPER 183,636.47 - 27,545.47 Note-4
4 3 PCS SET MEDIUM 62042300.00 3 PCS SET MEDIUM 184,449.04 - 27,667.36 Note-4
5 3 PCS ORDINARY 62042300.00 3 PCS ORDINARY 1,513,896.97 - 227,084.54 Note-4
6 SAREE SUPER 62044300.00 SAREE SUPER 314,803.06 - 47,220.46 Note-4
7 SAREE MEDIUM 62044300.00 SAREE MEDIUM 229,546.53 - 34,431.98 Note-4
8 SAREE ORDINARY 62044300.00 SAREE ORDINARY 2,362,319.28 - 354,347.89 Note-4
9 LEHENGA GORGIOUS 62042900.00 LEHENGA GORGIOUS 65,577.20 - 9,836.58 Note-4
10 LEHENGA ORDINARY 62042900.00 LEHENGA ORDINARY 262,335.96 - 39,350.39 Note-4
11 GOWN FLOOR TOUCS 62089900.00 GOWN FLOOR TOUCS 134,451.04 - 20,167.66 Note-4
12 MENS PANJABI (ORDINARY) 62079100.00 MENS PANJABI (ORDIN 717,331.85 - 107,599.78 Note-4
13 MENS T-SHITR 62059000.00 MENS T-SHITR 952,059.99 - 142,809.00 Note-4
14 BABY TROUSERS 62034900.00 BABY TROUSERS 103,706.15 - 15,555.92 Note-4
15 LADIES TOPS 61044200.00 LADIES TOPS 144,838.00 - 21,725.70 Note-4
16 MENS SANDLE 64059000.00 MENS SANDLE 102,886.41 - 15,432.96 Note-4
17 BABY WEAR 62099000.00 BABY WEAR 367,068.05 - 55,060.21 Note-4
18 IMITATION JEWELARY 71179000.00 IMITATION JEWELARY 461,421.05 - 69,213.16 Note-4
19 3PCS SET PREMIUME 62042300.00 3PCS SET PREMIUME 216,566.65 - 32,485.00 Note-4
20 3 PCS SET SUPER 62042300.00 3 PCS SET SUPER 144,382.28 - 21,657.34 Note-4
21 3 PCS SET MEDIUM 62042300.00 3 PCS SET MEDIUM 143,567.70 - 21,535.16 Note-4
22 3 PCS ORDINARY 62042300.00 3 PCS ORDINARY 1,172,547.47 - 175,882.12 Note-4
23 SAREE SUPER 62044300.00 SAREE SUPER 137,812.28 - 20,671.84 Note-4
24 SAREE MEDIUM 62044300.00 SAREE MEDIUM 114,842.43 - 17,226.36 Note-4
25 SAREE ORDINARY 62044300.00 SAREE ORDINARY 1,022,759.26 - 153,413.89 Note-4
26 GOWN FLOOR TOUCH 62089900.00 GOWN FLOOR TOUCH 803,922.56 - 120,588.38 Note-4
MENS PANJABI
27 MENS PANJABI (ORDINARY) 62079100.00 (ORDINARY) 283,021.71 - 42,453.26 Note-4
28 BABY WEAR 62099000.00 BABY WEAR 131,661.73 - 19,749.26 Note-4
29 BLOUSE 62069000.00 BLOUSE 15,313.96 - 2,297.09 Note-4
30 IMITATION JEWELARY 71179000.00 IMITATION JEWELARY 3,629.38 - 544.41 Note-4
31 PRINTED FABRICS 54077400.00 PRINTED FABRICS 130,158.58 - 19,523.79 Note-4
32 - Note-5
33 Note-7
Total 12,695,959.14 - 1,904,393.87 -
 Sub Form

For Local Supply (Sale)

SUB Form For Note 3

Serial Goods/ Services Commercial Goods/ Value SD VAT

Goods/ Services Name Notes
No. Description Services Code (a) (b) (C)

1 - - Note-3
2 - - Note-4
3 - - Note-5
4 - - Note-7
Total - - - -
 Sub Form

For Export (Sale)

SUB Form For Note -2

Serial Invoice/B/E Goods/ Services Commercial Goods/

Date Office Code Item No CPC (optional)
No. No. Description Services Code

1 2 3 4 5 6 7 8
1
2
Total
 Sub Form

For Export (Sale)

SUB Form For Note -2

Assessable Value Base Valu Of VAT VAT

Goods/ Services Name SD AT Note

9 10 11 12 13 14 15
- - Note-1
- - Note-2
- - -
 Sub Form

For Export (Sale)

SUB Form For Note 1

Serial Invoice/B/E Goods/ Services Commercial Goods/

Date Office Code Item No CPC (optional)
No. No. Description Services Code

1 2 3 4 5 6 7 8
1
2
Total
 Sub Form

For Export (Sale)

SUB Form For Note 1

Assessable Value Base Valu Of VAT VAT

Goods/ Services Name SD AT Note

9 10 11 12 13 14 15
- - Note-1
- - Note-2
- - -
 GOVERNMENT OF THE PEOPLE'S REPUBLIC OF BANGLADESH
NATIONAL BOARD OF REVENUE
Mushak- 9.1
VALUE ADDED TAX RETURN
[See rule 47(1)]
[Please read the instruction before filling up this form]
PART - 1: TAXPAYER'S INFORMATION
1. BIN : 002235971-0201
2. Name of Taxpaye : M/S SUMIYA TRADE
26/1-26/2,DR,KUDRAT-E-KHUDA ROAD, SHOP NO #78, EASTERN
3. Address of Taxpayer : MOLLIKA,4TH FLOOR, NEW MARKET,DHAKA-1205.

4. Type of Ownership : Proprietorship

5. Economic Activity : Commercial Importer
PART - 2: RETURN SUBMISSION DATA
1. Tax Period : Month : May Year : 2023
: (A) Main/ Original return ( Sec 64) √
2. Type of Return : (B) Late Return (Section 65)
[Please select your desired option]
Reason for Amendment : : (C) Amended return (Sec 66)
( D) Complete, Additional or alternative
: VAT return (Sec 67)

Yes √ No
3. Any activities in this Tax Period? :
[If Selected “No” Please Fill Only the Relevant Part]

4. Date of Submission : 1 5 / 0 6 / 2 0 2 3

5. Last Amendment Date : / / 2 0 2 3

PART - 3: SUPPLY - OUTPUT TAX
Nature of Supply Note Value (a) SD (b) VAT (.c)
Direct Export 1 $ - Subform
Zero Rated Goods/Service
Deemed Export 2 - Subform
Exempted Goods/Service 3 - Subform
Standard Rated Goods/Service 4 12,695,959 - 1,904,393.87 Subform
Goods Based on MRP 5 - - - Subform
Goods/Service Based on Specific VAT 6 - - - Subform
Goods/Service Other than Standard Rate 7 - - - Subform
Retail/Wholesale/Trade Based Supply 8 - - - Subform
Total Sales Value & Total Payable Taxes 9 12,695,959 - 1,904,393.87

PART - 4: PURCHASE - INPUT TAX

(1) If all the products/ services you supply are standard rated, fill up note 10-20
(2) All the products/services you supply are not standrad rated or input tax credit not taken within stipulated time period under section 46, fill up note 21-22

(3) If the products/services you supply consist of both standard rated and non-standard rated, then fill up note 10-20 for the raw materials that were used to procure/supply non-standrad
rated goods/services and show the value proportionately in note 10-22 as applicable .
Nature of Purchase Note Value (a) VAT (b)
Local purchase 10 - Subform
Zero Rated Goods/Service
Import 11 - Subform
Local purchase 12 - Subform
Exempted Goods/Service
Import 13 - Subform
Local purchase 14 - - Subform
Standard Rated Goods/Service
Import 15 9,395,852 1,409,378 Subform
Local purchase 16 - - Subform
Goods/Service Other than Standard Rate
Import 17 - - Subform

Goods/Service Based on Specific VAT Local purchase 18 - - Subform

From Turnover Tax
Units 19 - - Subform
Goods/Service Not Admissible for Credit (Local Purchase)
From Unregistered
Entities 20 - - Subform

Local purchase
Goods/Service Not Admissible for Credit (Taxpayers who sell only 21 - - Subform
xempted/Specific VAT and Goods/Service Other than Standard Rate/
Import
Credits not taken within stipulated time) 22 - - Subform

Total Input Tax Credit 23 9,395,852 1,409,377.81

PART - 5: INCREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source by the Supply Receiver 24 - Subform

Payment Not Made Through Banking Channe 25 -

Issuance of Debit Note 26 - Subform

Any Other Adjustments (please specify below)

27 - Subform

Total Increasing Adjustment 28 -

 PART - 6: DECREASING ADJUSTMENTS (VAT)
Adjustment Details Note VAT Amount
Due to VAT Deducted at Source from the Supplies Delivered 29 - Subform
Advance Tax Paid at Import Stage 30 469,792.60 Subform
Issuance of Credit Note 31 - Subform
Any Other Adjustments (please specify below)
32 - Subform

Total Decreasing Adjustment 33 469,792.60

PART - 7: NET TAX CALCULATION

Items Note Amount (Tax)
Net Payable VAT for the Tax Period (Section- 45) (9c-23b+28-33) 34 25,223.46
Net Payable VAT for the Tax Period after Adjustment with Closing Balance and balance of
form 18.6 [34-(52+56)] 35 19,539.16
Net Payable Supplementary Duty for the Tax Period (Before adjustment with Closing
Balance) [9b+38- (39+40) 36 -
Net Payable Supplementary Duty for the Tax Period after Adjusted with Closing Balance
and balance of form 18.6 [36-(53+57)] 37 -
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 (35+41+43+44) 50 19,539.16
Net Payable SD for Treasury Deposit (37+42) 51 -
Closing Balance of Last Tax Period (VAT) 52 5,684.31
Closing Balance of Last Tax Period (SD) 53 -
PART - 8: ADJUSTMENT FOR OLD ACCOUNT CURRENT BALANCE
Items Note Amount (TK)
Remaining Balance (VAT) from Mushak-18.6, [Rule 118(5)] 54
Remaining Balance (SD) from Mushak-18.6, [Rule 118(5)] 55
Decreasing Adjustment for Note 54 (up to 30% of Note 34) 56
Decreasing Adjustment for Note 55 (up to 30% of Note 36) 57
PART - 9: ACCOUNTS CODE WISE PAYMENT SCHEDULE (TREASURY DEPOSIT)
Items Note Economic Code Amount (BDT)
VAT Deposit for the Current Tax Period 58 1/1133/Economic Code/0311 24,000 Subform

SD Deposit for the Current Tax Period 59 1/1133/Economic Code/0711-072 - Subform

Excise Duty 60 1/1133/Economic Code/0601 - Subform

Development Surcharge 61 1/1103/Economic Code/2225 - Subform

ICT Development Surcharge 62 1/1103/Economic Code/2214 - Subform

Health Care Surcharge 63 1/1103/Economic Code/2212 - Subform

Environment Protection Surcharge 64 1/1103/Economic Code/2213 - Subform

PART - 10: CLOSING BALANCE

Item Note Amount (Tax)
Closing Balance (VAT) (58-50-67+Not Approved Amount of VAT in Refund Module (If
any)) 65 4,460.84
Closing Balance (SD) [59-51-68+Not Approved Amount of SD in Refund Module (If any)]
66 -
PART - 11: REFUND
Items Note Yes No √
I am interested to get refund of my Closing Balance Requested Amount for Refund 67 -
(VAT)
Requested Amount for Refund (SD) 68
PART - 12: DECLARATION
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.
Name Md. Shahidul Islam
Designation Executive VAT
Mobile number 01680 122676
National ID/Passport Number 9149507122 Signature
 Signature
E-mail anantrading@yahoo.com
Signature [Not required for electronic
submission]
 Sub Form

Sub-form for Note 24

Invoice No/ Invoice/ VAT Deduction at VAT Deduction at

Serial Supplier's Tax deposit Account
Supplier's BIN Supplier's Name Value Deducted VAT Challan / Bill No Challan/ Bill Source, Source,
No. Address Code
etc.) Date Certificate No Certificate Date

1 - -
2
3
4
5
6
7
8
9
10
11
12
Total - - - - -
 Tax
deposit Tax
serial no deposit Notes
of book date
transfer
 Sub-form for Note 26

Value of Quantity Of
Debit Note VAT Challan
Sl No Issue Date VAT Challan Date Increasing Increasing
No No
Adjustment Adjustment
1 2 3 4 5 6 7

Total
 VAT Of
SD Of Increasing
Increasing Note
Adjustment
Adjustment
8 9 10
 Sub-form for Note 27

SL No. Challan Number Date Value VAT

1
2
3
4
5
6
Total - -
Notes
 Sub-form for Note 29
VAT
Invoice No/ Invoice/ VAT Deduction at Deduction at
Serial Buyer's
Buyer's BIN Buyer's Name Value Deducted VAT Challan / Bill No Challan/ Bill Source, Source,
No. Address
etc.) Date Certificate No Certificate
Date
- -

Total -
Notes
 Sub-form for Note 30
Serial Advance Tax
Bill of Entry No Date Custom House/ Customs Station Notes
No. Amount
1 C-264880 4-Apr-23 101 Dhaka Custom House 309,999.77 AT
2 C-284290 9-Apr-23 101 Dhaka Custom House 159,792.84 AT

Total 469,792.60
 Sub-form for Note 31

Credit Note VAT Value of Decreasing

Sl No Issue Date VAT Challan Date
No Challan No Adjustment

1 2 3 4 5 6

Total
or Note 31

Quantity Of VAT Of SD Of
Decreasing DecreasingAdju Decreasing Note
Adjustment stment Adjustment
7 8 9 10

- - -
 Sub-form for Note 32

SL No. Challan Number Date Value VAT

Total - -
Notes
 Sub-form for Note 58-64

Serial Treasury Challan Branch/CAFO/

Bank/CGA Date Tax Deposit Account Code Amount Notes
No. No/ Token Number DCO

1 2230016974526 SONALI BANK NEW MARKET 15/May/22 1/1133/Economic Code/0311 24,000.00 VAT Deposit for the current tax period
2 1/1133/Economic Code/0711-0721 SD PDeposit for the current tax period
3 1/1133/Economic Code/0601 Excise Duty
4 1/1103/Economic Code/2225 Development Surcharge
5 1/1103/Economic Code/2214 ICT Development Surcharge
6 1/1103/Economic Code/2212 Health Care Surcharge
7 1/1103/Economic Code/2213 Environment Protection Surcharge
Total 24,000.00
1 2 3 4 5 6
S.L Dispatch
Description Quantity Unit Value Total Value
No Unit
1 3PCS SET PREMIUME PCS 84.00 3,279.12 275,446.11
2 3 PCS SET SUPER PCS 84.00 2,186.15 183,636.47
3 3 PCS SET MEDIUM PCS 135.00 1,366.29 184,449.04
4 3 PCS ORDINARY PCS 1,385.00 1,093.07 1,513,896.97
5 SAREE SUPER PCS 96.00 3,279.20 314,803.06
6 SAREE MEDIUM PCS 120.00 1,912.89 229,546.53
7 SAREE ORDINARY PCS 1,729.00 1,366.29 2,362,319.28
8 LEHENGA GORGIOUS PCS 6.00 10,929.53 65,577.20
9 LEHENGA ORDINARY PCS 48.00 5,465.33 262,335.96
10 GOWN FLOOR TOUCS PCS 41.00 3,279.29 134,451.04
11 MENS PANJABI (ORDINARY) PCS 875.00 819.81 717,331.85
12 MENS T-SHITR PCS 1,742.00 546.53 952,059.99
13 BABY TROUSERS PCS 253.00 409.91 103,706.15
14 LADIES TOPS PCS 265.00 546.56 144,838.00
15 MENS SANDLE PCS 251.00 409.91 102,886.41
16 BABY WEAR PCS 1,791.00 204.95 367,068.05
17 IMITATION JEWELARY KG 255.00 1,809.49 461,421.05
18 3PCS SET PREMIUME PCS 66.00 3,281.31 216,566.65
19 3 PCS SET SUPER PCS 66.00 2,187.61 144,382.28
20 3 PCS SET MEDIUM PCS 105.00 1,367.31 143,567.70
21 3 PCS ORDINARY PCS 1,072.00 1,093.79 1,172,547.47
22 SAREE SUPER PCS 42.00 3,281.24 137,812.28
23 SAREE MEDIUM PCS 60.00 1,914.04 114,842.43
24 SAREE ORDINARY PCS 748.00 1,367.33 1,022,759.26
25 GOWN FLOOR TOUCH PCS 245.00 3,281.32 803,922.56
26 MENS PANJABI (ORDINARY) PCS 345.00 820.35 283,021.71
27 BABY WEAR PCS 642.00 205.08 131,661.73
28 BLOUSE PCS 56.00 273.46 15,313.96
29 IMITATION JEWELARY KG 2.00 1,814.69 3,629.38
30 PRINTED FABRICS KG 115.00 1,131.81 130,158.58
-
12,724.00 12,695,959.14
 7 8 9 10
Supplement
VAT rate VAT Amount Total Value
ary Duty
15% 41,316.92 316,763.02 C-264880 62042300.00
15% 27,545.47 211,181.94 62042300.00
15% 27,667.36 212,116.40 62042300.00
15% 227,084.54 1,740,981.51 62042300.00
15% 47,220.46 362,023.52 62044300.00
15% 34,431.98 263,978.51 62044300.00
15% 354,347.89 2,716,667.17 62044300.00
15% 9,836.58 75,413.78 62042900.00
15% 39,350.39 301,686.35 62042900.00
15% 20,167.66 154,618.70 62089900.00
15% 107,599.78 824,931.63 62079100.00
15% 142,809.00 1,094,868.99 62059000.00
15% 15,555.92 119,262.07 62034900.00
15% 21,725.70 166,563.70 61044200.00
15% 15,432.96 118,319.37 64059000.00
15% 55,060.21 422,128.25 62099000.00
15% 69,213.16 530,634.20 71179000.00
15% 32,485.00 249,051.64 C-284290 62042300.00
15% 21,657.34 166,039.62 62042300.00
15% 21,535.16 165,102.86 62042300.00
15% 175,882.12 1,348,429.59 62042300.00
15% 20,671.84 158,484.12 62044300.00
15% 17,226.36 132,068.80 62044300.00
15% 153,413.89 1,176,173.15 62044300.00
15% 120,588.38 924,510.94 62089900.00
15% 42,453.26 325,474.96 62079100.00
15% 19,749.26 151,410.99 62099000.00
15% 2,297.09 17,611.06 62069000.00
15% 544.41 4,173.79 71179000.00
15% 19,523.79 149,682.37 54077400.00
15% - -
- 1,904,393.87 14,600,353.01
 Drcvw`Z cb¨/‡mevi cÖviw¤¢K
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†Ri
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ZvwiL cwigvb cwigvb cwigvb
bs (mKj cÖKvi Ki (mKj cÖKvi Ki
(GKK) (GKK) (GKK)
e¨ZxZ) e¨ZxZ)
(1) (2) (3) (4) (5) (6) (7)=(3+5)
#REF!

we‡kl `ªóªe¨t
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weµq wnmve cy¯ÍK
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[wewa 40 Gi Dc-wea (1) Gi `dv (L) Ges wewa 41 Gi `dv (K) `ªóªe¨]
cb¨/ †mevi weµq
‡gvU Drcvw`Z cY¨ /†mev ‡µZv/mieivn MªnxZv Pvjvbc‡Îi weeiY
g~j¨ wbeÜb/
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(8)=(4+6) (9) (10) (11) (12) (13)
 - - - - -

&I RvZxq cwiPq cÎ b¤^i h_vh_fv‡e mswkøô Kjv‡g [(7),(8) &I (9) AvewkKfv‡e D‡jøL Kwi‡Z nB‡e
g,wVKvbv I e¨emv mbv³KiY msL¨v
weµq wnmve cy¯ÍK
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) Gi `dv (L) Ges wewa 41 Gi `dv (K) `ªóªe¨]
cb¨/ †mevi weµq
wewµZ/mieivnK…Z c‡Y¨i weeiY

weeiY cwigvb

(14) (15)
3PCS SET PREMIUME 84.00
3 PCS SET SUPER 84.00
3 PCS SET MEDIUM 135.00
3 PCS ORDINARY 1,385.00
SAREE SUPER 96.00
SAREE MEDIUM 120.00
SAREE ORDINARY 1,729.00
LEHENGA GORGIOUS 6.00
LEHENGA ORDINARY 48.00
GOWN FLOOR TOUCS 41.00
MENS PANJABI (ORDINARY) 875.00
MENS T-SHITR 1,742.00
BABY TROUSERS 253.00
LADIES TOPS 265.00
MENS SANDLE 251.00
BABY WEAR 1,791.00
IMITATION JEWELARY 255.00
3PCS SET PREMIUME 66.00
3 PCS SET SUPER 66.00
3 PCS SET MEDIUM 105.00
3 PCS ORDINARY 1,072.00
SAREE SUPER 42.00
SAREE MEDIUM 60.00
SAREE ORDINARY 748.00
GOWN FLOOR TOUCH 245.00
MENS PANJABI (ORDINARY) 345.00
BABY WEAR 642.00
BLOUSE 56.00
IMITATION JEWELARY 2.00
PRINTED FABRICS 115.00
 12,724.00

Kwi‡Z nB‡e
 g~mK-6.2

c‡Y¨i cÖvwšÍK †Ri

m¤ú~iK g~j¨ gšÍe¨
cwigvb
Ki‡hvM¨g~j¨ k~é (hw` g~mK (mKj cÖKvi Ki
_v‡K) (GKK)
e¨ZxZ)
(16) (17) (18) (19)=(7-15) (20)=(8-16) (21)
275,446.11 41,316.92
183,636.47 27,545.47
184,449.04 27,667.36
1,513,896.97 227,084.54
314,803.06 47,220.46
229,546.53 34,431.98
2,362,319.28 354,347.89
65,577.20 9,836.58
262,335.96 39,350.39
134,451.04 20,167.66
717,331.85 107,599.78
952,059.99 142,809.00
103,706.15 15,555.92
144,838.00 21,725.70
102,886.41 15,432.96
367,068.05 55,060.21
461,421.05 69,213.16
216,566.65 32,485.00
144,382.28 21,657.34
143,567.70 21,535.16
1,172,547.47 175,882.12
137,812.28 20,671.84
114,842.43 17,226.36
1,022,759.26 153,413.89
803,922.56 120,588.38
283,021.71 42,453.26
131,661.73 19,749.26
15,313.96 2,297.09
3,629.38 544.41
130,158.58 19,523.79

-
-
-
 -
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
- -
12,695,959.14 - 1,904,393.87

- -
 MYcÖRvZš¿x evsjv‡`k miKvi
RvZxq ivR¯^ †evW© g~mK 6.10

2 (`yB) jÿ UvKvi AwaK g~j¨gv‡bi µq-weµq Pvjvb c‡Îi Z_¨

[wewa 42 Gi Dc-wewa (1) `ªóe¨]

wbewÜZ/ZvwjKvf‚³ e¨w³i bvg : BISHAL ENTERPRISE

we AvB Gb :'000387759-0201

Ask-K: µq wnmve Z_¨

µq
µwgK bs we‡µZvi we AvB
we‡µZvi
Pvjvb cÎ bs Bm¨yi ZvwiL g~j¨ we‡µZvi bvg Gb/ RvZxq cwiPq
wVKvbv
cÎ bs*
(1) (2) (3) (4) (5) (6) (7)
1 C-264880 4-Apr-23 6,199,995.33 S.J Fabrics INDIA
2 C-284290 9-Apr-23 3,195,856.71 S.J Fabrics INDIA

9,395,852.04

`vwqZ¡ e¨w³i ¯^vÿi:

bvg :
ZvwiL :

*‡hB‡ÿ‡Î AwbewÜZ e¨w³i wbKU nB‡Z cY¨/‡mev µq Kiv nB‡e ev AwbewÜZ e¨w³i wbKU cY¨/‡mev weµq Kiv nB‡e, †mB‡ÿ‡Î D³ e¨w³i bvg,wVKvbv &I RvZxq cwi
h_vh_ mswkøó Kjv‡g [(7),(8)&I (9)] Avewk¨Kfv‡e D‡jøL Kwi‡Z nB‡e|
wbKU cY¨/‡mev weµq Kiv nB‡e, †mB‡ÿ‡Î D³ e¨w³i bvg,wVKvbv &I RvZxq cwiPq b¤^i
 MYcÖRvZš¿x evsjv‡`k miKvi
RvZxq ivR¯^ †evW© g~mK 6.10

2 (`yB) jÿ UvKvi AwaK g~j¨gv‡bi µq-weµq Pvjvb c‡Îi Z_¨

[wewa 42 Gi Dc-wewa (1) `ªóe¨]

wbewÜZ/ZvwjKvf‚³ e¨w³i bvg : BISHAL ENTERPRISE

we AvB Gb '000387759-0201

Ask-L: weµq wnmve Z_¨

weµq

µwgK bs ‡µZvi we AvB

Pvjvb cÎ bs Bm¨yi ZvwiL g~j¨ ‡µZvi bvg ‡µZvi wVKvbv Gb/ RvZxq
cwiPq cÎ bs*

(1) (2) (3) (4) (5) (6) (7)

1 316,763.02
2 211,181.94
3 212,116.40
4 1,740,981.51
5 362,023.52
6 263,978.51
7 2,716,667.17
8 75,413.78
9 301,686.35
10 154,618.70
11 824,931.63
12 1,094,868.99
13 119,262.07
14 166,563.70
15 118,319.37
16 422,128.25
17 530,634.20
18 249,051.64
19 166,039.62
20 165,102.86
21 1,348,429.59
22 158,484.12
23 132,068.80
24 1,176,173.15
25 924,510.94
26 325,474.96
27 151,410.99
28 17,611.06
29 4,173.79
30 149,682.37
14,600,353.01

`vwqZ¡ e¨w³i ¯^vÿi:

bvg :
ZvwiL :

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h_vh_ mswkøó Kjv‡g [(7),(8)&I (9)] Avewk¨Kfv‡e D‡jøL Kwi‡Z nB‡e|