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Entry Form II


[See rule 4(4)]

Certificate of registration

Registration No.

This is to certify that*

* Here enter the name and style under which the business is carried on. Whose principal place of business is situated at ..................... has been granted a registration under section 4 of the Goa Tax on Entry of Goods Act, 2000, subject to the provisions of the said Act and the Rules framed thereunder and also to the following conditions:



This certificate should be exhibited at a conspicuous place within the premises of the business.


A Correct account should be kept of the daily transactions at the place of business.


A registration dealer shall afford all facilities for the checking of his stock and shall, at all reasonable times, produce for inspection accounts or other documents and shall furnish fully and correctly any information in his possession as may be required for the purpose of these Rules by any officer empowered in this behalf.


The prescribed statement(s) and returns should be sent to the prescribed authority within the prescribed time.

(5) This registration certificate should nor be transferred or sold nor should it be amended without the permission of the registering authority which should be applied for and obtained.

All corrections in this certificate should be made and attested by the registration authority.


The registered dealer shall be responsible for all the acts of his manager, agent or servant.


The dealer has additional places of business as noted below:






This Registration Certificate is valid from .............................. until cancelled





Registration Authority

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