FORM 'O' (See Rule 21B) Form of application for composition of tax under section 3D Sir/Madam, I hereby apply for composition of tax payable under section 3 of the Goa Entertainment Tax Act, 1964, for entertainment provided by way of river cruises/boat cruises. I agree to furnish such security as may be demanded by the Commissioner or any other officer appointed for the purpose. I agree to abide by the conditions to be imposed in the order granting the facility of composition of tax payable hereby applied for: I give herebelow the details for consideration of my application. (1) Name of applicant (Proprietor): (2) Residential Address with phone No., if any: (3) Kind of entertainment provided: (4) Boat/vessel where they are held: (5) How often in a week and on what days: (6) Payment of admission (Give details or rate of ticket): (7) Name of the boat/vessel, if any, and the registration No. allotted by the competent Authority: (8) Total passenger capacity of the boat/vessel: (9) No. of trips proposed to be made during the week/month ending ...... I declare that the information furnished by me above is true and correct and in the event of any information being found as false or incorrect, I undertake to pay the entertainment tax on the applicable rate in addition to such penalties as may be levied. Name of the Proprietor/ Manager of the Entertainment Place: Date: By order and in the name of the Governor of Goa. Yvonne Cunha, Under Secretary (Fin. Exp.)
