Department of Goods Tax Government of Arunachal Pradesh Form WU-01 (See Rule ?? of the Arunachal Pradesh Goods Tax Rules, 2005) Certificate of Approved Warehouse under Arunachal Pradesh Goods Tax Act, 2005 1. Full Name of Transporter 2. Trade Name 3. Approval Number 4. Constitution of Business 5. Validity w.e.f. 6. Principal Place of Business Building Name/ Number _______________________________________________ Town/ Village _______________________________________________ District _______________________________________________ Pin Code _______________________________________________ Email Id _______________________________________________ Telephone Number(s) _______________________________________________ Fax Number(s) _______________________________________________ 7. Name, photographs and specimen signature of persons having interest in business Signature Signature Signature Name Name Name Passport sized (signed) photograph Passport sized (signed) photograph Passport sized (signed) photograph Signature and Seal of Goods Tax Authority Name: Designation: Note: The Approved Warehouse certificate shall be prominently displayed at all places of business and it shall be produced on demand by any person exercising authority under the Act and Rules. The failure to do so would result in cancellation of Approved Warehouse Certificate.