FORM 'C' (See Rule 18) Statement of programmes or synopsis issued when tax is payable under clause (a) or (b) of sub-section (2) of Section 4 Name and place of entertainment.......... Date of performance....... Numberand time ofshow Price of programme or synopsis including tax Number issued of programmes or synopsis subject to tax the purchase whereof is Gross receipts Amount ofduty payable toGovernment Remarks Compulsory Voluntary Rs. Rs. Date:......... Signature of the Proprietor......