FORM 61

[See rule 78 (1)]

Information under section 62(1) of the Madhya Pradesh Vat Act, 2002.

To,

The Commercial Tax Officer ,

___________________ Circle

I, _______________ Proprietor/*Manager/*Director of proprietorship concern /* firm /*society*/ company  known as ________________________ whose office is situated at (address)  ____________________________________ hereby inform that I am carrying on the business of clearing, forwarding, booking agent /* broker/* transporting of goods  under the aforesaid name within jurisdiction of your circle.

Place __________                                             

Date __________                                                                                     Signature

*Strike out whichever is not applicable.

ACKNOWLEDGMENT  

Received an intimation in form  61 from Shri __________________________ of  ______________________ (name of the business ) ___________ place on _____________.

                                                                        Commercial Tax Officer  __________ Circle