FORM XIX (See Sub-Rule (2) of Rule 31 of the Uttaranchal Value Added Tax Rules, 2005) Application for Form of Certificate for Import To, The Assistant Commissioner Commercial Tax Sector ....... Circle ........ Sir, I, .................. S/o.............. resident of ............................(complete address alongwith, house no., name of road / street / lane, mohalla, vilflage/ town, P.O. and District), hereby declare that I wish to import of received from outside the State goods of the following description and value for the purpose of *re-sale / use manufacture of goods for sale / personal consumption. Sl. No. Description of goods Quantity Amount I hereby declare that the above information is true to the best of my knowledge and belief. I request that a certificate permitting the import of the above goods may kindly be issued to me. Date....... Signature ........ Place....... Signature ........ *strike out whichever is not applicable.
