Form D-I
Declaration stating name of the manager of business under section 22 of the
Bihar Value Added Tax Act, 2005
[See rule 3(4)]
Office of the .................................................................................. of Commercial Taxes ...................................................................................Circle
To,
The ...........................................................................
....................................................................................................................
Circle/Sub-Circle.
I/We .................................................................................................................................................................................. (full name), on behalf of the
dealer carrying on business under the name and style of ................................................................................................................... at
.................................................
whose particulars are detailed below, hereby declare that Shri ........................................................
.....................................................................................................
whose details are given below, be deemed to be the Manager of
the said business at ....................................................................................................................... for the purpose of the Bihar Value
Added Tax Act, 2005 and the rules framed thereunder and shall at all times comply with the
provision of the said Act and the rules framed thereunder –
1. Name and Address of Dealer
........................................................................................................................................................................................
........................................................................................................................................................................................
2. Taxpayer Identification No.
.........................................................................................................................................................................................
3. Details of the person declared as Manager:
(i)
Name
(ii)
Father’s/Husband’s Name
.................................................................................................................................................................................................................
..................................................................................................................................................................................
(iii) Details of relationship, if any, with the dealer
.....................................................................................................................
(iv) Address:
Permanent Address
..........................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................
Present Address
..........................................................................................................................................................................................................................................................................
..........................................................................................................................................................................................................................................................................
4. Specimen signature of person declared as Manager
(Separate application is to be filed for different persons)
.....................................................................................................................
5. Signature and Status of the
person making the declaration
..................................................................................................................................................................................
............................................................................................................................................................................................................................................................................................
Signature
...................................................................................................................................
Status in relation to
............................................................................................................................
the dealer
... continued
-2ACCEPTANCE OF NOMINATION
I .................................................................................................................................................................................. (full name), do hereby accept
the nomination.
Place ...................................................
Date
Signature
.......................................................................
...................................................
6. Signature and Status of the
witness attesting the signatures
of the person making the
declaration
..................................................................................................................................................................................
..................................................................................................................................................................................
..................................................................................................................................................................................