FORM 58

[See rule 75(9)]

Register of issue of  blank declarations in form 49  

S.No.

Date

Name and TIN of the dealer

No.of forms issued

Book No./S.No. from ____ to ___________

Signature of the dealer

Remarks

(1)

(2)

(3)

(4)

(5)

(6)

(7)