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Entry Form XXX

FORM 30

(See rule 34)

Declaration regarding the person(s) authorised to sign document(s)



          I/We, ……………………………… of …………………………… carrying on the business under the name and style of …………………… at ……………………………… and other places in the State of Goa, namely ……………… and liable to pay tax under the Goa Tax on Entry of Goods Act, 2000 do hereby declare and authorise the following person(s), namely …………………………… whose signature(s) is/are appended herein and identified by me/us and who is/are ………………… of the said concern shall be person(s) authorised to sign the returns, statements, applications under the Act on behalf of the aforesaid business concern or to make statements in any enquiry under the Act.

Sl. No.
Name
Status
Signature
1.

 

2.

 

 

 

 

Place: 

Date : 

Signature of the declarant,

Status of the declarant.

 

By order and in the name of the Governor of Goa.

Yvonne Cunha, under Secretary (Fin.Exp.). 

Panaji, 8th September, 2000.

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