FORM V TRIPURA VALUE ADDED TAX ACT, 2004 Registration Certificate of Transporter / Carrier / Transporting Agent ( Under Rule 17(4) of TVAT Rules ) Registration Number. _______________________ THIS IS TO CERTIFY THAT _____________________________________________ whose principal place of business within the State of Tripura is situated at __________________________ has been registered as a Transporter/Carrier/Transporting Agent under section _________ the TVAT ACT, 2005 to operate the Transport business in Tripura relating to taxable goods. As on the day of registration, the Transporter/Carrier/Transporting Agent maintains Godown(s), Branche(s) and Offices (s) within the State of Tripura as well as outside Tripura:- Godown (s) : _________________________________________________ Branch (s) : _________________________________________________ Office (s) : _________________________________________________ Name & Address of Proprietor/Partner/Directors. Name Father's Name Present Address Permanent Address This Certificate is valid with effect from............. Date .................... Superintending of Taxes Charge :