Form VAT - XXIV [See rule 14(v)] Application by an Employer for the grant of Registration under Section 28(1) of the Goa Value Added Tax Act, 2005 (Act 9 of 2005) To, The Appropriate Assessing Authority, ___________Ward. (1) Name of the Employer : (2) Permanent address of the Employer : (3) Nature of works contracts awarded : (4) Value of the works contracts awarded: (5) Date of tax deduction at source : (6) Date of crediting contractor's accounts towards the payment of tax deducted at source : Place: Date: _____________________ Signature of the Employer