FORM SS [See rule 17(1) ] Authorisation under section 78 of the Tamil Nadu Value Added Tax Act, 2006 to appear before a tax authority other than the High Court. I / We .........of ......... Village in the ....... taluk of ....... district , being (a) registered dealer(s) holding Tax payer Identification number. .......under the Tamil Nadu Value Added Tax Act, 2006, do hereby authorise Thiru . ....... ....being an Accountant(s) / Value Added Tax Practitioner / my / our relative my / our regular employee under me / us in my / our business to represent me / us and to produce the accounts and documents connected with the proceedings before.......in respect of my / our assessment(s) for the period from ....... 200. to .......200 and whatever explanation or statements he gives or makes on my / our behalf will be binding on me/us. Place : Signature Date : Name Status DECLARATION I, ......do hereby declare - (1) that I am an Accountant duly qualified under section 78 of the Tamil Nadu Value Added Tax Act, 2006 / that I am a VAT Practitioner enrolled (Roll No.., dated ......) by the Deputy Commissioner .........Division / that I am a relative of Thiru ... ..... (here mention the name and status of the dealer to whom related) / that I am a regular employee under Thiru / Tvl. .........(here mention the name of the dealer ) in his / their business, (2) that I agree to attend on behalf of the above mentioned Thiru / Tvl ......; and (3) that I shall state the facts correctly and give the explanations to the best of my knowledge and belief. Place : Date : Signature of the Authorised Representative Note: (1) This form should be affixed with adhesive nonjudicial stamps or court fee as prescribed under the Indian Stamp Act,1899. (2) Strike out the words which are not applicable.