Department of Goods Tax Government of Arunachal Pradesh Form SF 01 (See Rule 30 of the Arunachal Pradesh Goods Tax Rules, 2005) Security Form 1. Registration Number 2. Full Name of Applicant Dealer 3. Trade Name __________________________________________________________ 4. Reference : Order No (SU-03) Details of Security Already Submitted S.No. Purpose of security Type of security In case of Bank Guarantee, name and address of bank on which it is drawn Description and details of security Amount Date of expiry Details of Security Now Being Furnished S.No. Purpose of security Type of security In case of Bank Guarantee, name and address of bank on which it is drawn Description and details of security Amount Date of expiry 4. Verification I/ we _________________ hereby solemly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory Name Designation Place Date
