Form D-I Declaration stating name of the manager of business under section 22 of the Bihar Value Added Tax Act, 2005 [See rule 3(4)] Office of the .................................................................................. of Commercial Taxes ...................................................................................Circle To, The ........................................................................... .................................................................................................................... Circle/Sub-Circle. I/We .................................................................................................................................................................................. (full name), on behalf of the dealer carrying on business under the name and style of ................................................................................................................... at ................................................. whose particulars are detailed below, hereby declare that Shri ........................................................ ..................................................................................................... whose details are given below, be deemed to be the Manager of the said business at ....................................................................................................................... for the purpose of the Bihar Value Added Tax Act, 2005 and the rules framed thereunder and shall at all times comply with the provision of the said Act and the rules framed thereunder - 1. Name and Address of Dealer ........................................................................................................................................................................................ ........................................................................................................................................................................................ 2. Taxpayer Identification No. ......................................................................................................................................................................................... 3. Details of the person declared as Manager: (i) Name ................................................................................................................................................................................................................. (ii) Father's/Husband's Name .................................................................................................................................................................................. (iii) Details of relationship, if any, with the dealer ..................................................................................................................... (iv) Address: Permanent Address .......................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................... Present Address .......................................................................................................................................................................................................................................................................... .......................................................................................................................................................................................................................................................................... 4. Specimen signature of person declared as Manager (Separate application is to be filed for different persons) ..................................................................................................................... 5. Signature and Status of the person making the declaration .................................................................................................................................................................................. ............................................................................................................................................................................................................................................................................................ Signature ................................................................................................................................... Status in relation to the dealer ............................................................................................................................ ... continued -2 - ACCEPTANCE OF NOMINATION I .................................................................................................................................................................................. (full name), do hereby accept the nomination. Place ................................................... Signature ....................................................................... Date ................................................... 6. Signature and Status of the .................................................................................................................................................................................. witness attesting the signatures .................................................................................................................................................................................. of the person making the declaration ..................................................................................................................................................................................
