FORM II TRIPURA VALUE ADDED TAX ACT, 2004 Certificate of Registration ( Under Rule 12(1) of TVAT Rules ) Taxpayer's Identification Number. : _________________________ THIS IS TO CERTIFY THAT ___________________________________________ (Name) _____________________________(Status) carrying on business, under the trade name of is situated at _______________________________________, whose principal place of business is situated at ________________________________ has been registered as a dealer under section __________ of the TVAT Act, 2005. The dealer is a (Economic activity code) :Manufacturer/importer/wholesaler/ reseller / seller. List of taxable items deals with : Sl.No. Item Code Description Reseller Manufacturer Importer The dealer has additional place (s) of business as noted below :- (a) (b) The dealer has warehouse(s) at :- Location of Factory, if any :- The dealer has Income Tax Permanent Account No. _______________________________ Name & address of Proprietor/Partners/Secretary/Managing Director ________________ The dealer is liable to pay tax on and from ______________________. The certificate is valid from ______________until cancelled/suspended. Date........ Superintendent of Taxes. Charge : This certificate should be exhibited at a conspicuous place within the premises of the business.