0 0 0 0 0 0 0 0 Designation Date Published on National Portal of India (india.gov.in) Government of Arunachal Pradesh Department of Goods Tax Application for Cancellation of Approval Certificate under Arunachal Pradesh Goods Tax Act, 2005 (See Rule 25 of the Arunachal Pradesh Goods Tax Rules, 2005) Form WA-03 Supporting Documents Checklist of Supporting Documents Proof of discontinuance of business Please tick as applicable Proof of closure of incorporated body Mandatory Documents Proof of death of sole proprietor Certificate of Approval issued to the Warehouse Proof of dissolution of firm Proof that the Warehouse has cleared all dues to the department Others, please specify Reasons for Rejection (For Office Use Only) Please tick as applicable Not attached Mandatory Support Document(s) Other Please attach your tax return for the period ending on the effective date for cancellation of your registration. Please remember that if you are registered under the CST, you will have to file a separate application for the purpose of cancellation of CST Registration. 1. Approval Certificate Number 2. Full Name of Applicant Warehouse 3. Trade Name Closure of incorporated body Discontinuance of business 4. Reason for Cancellation Tick one Death of sole proprietor Dissolution of firm Others, please specify 5. Effective date of Cancellation Date of the above event DD / MM / YYYY 6. Details of any government dues Verification : I/ We hereby solemnly affirm and declare that the information given in this form and its attachments (if any) is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory Name Place
