Form ENT-VII See rule 10(1) Application for composition of tax under section 3 D of the Goa Entertainment Tax Act, 1964 ( to be filed in duplicate) To, The Commissioner Department of Commercial Tax , Goa Sir, I hereby apply for composition of Tax payable under section 3 D of the Goa Entertainment Tax Act, 1964 for the period....to.....for entertainment provided by conducting boat /river cruise. I agree to comply with any conditions imposed including furnishing of appropriate security as directed by the assessing authority . In case of any information furnished being found false or incorrect by the assessing authority on basis of firm evidence, the undersigned, hereby undertakes to clear the default along with penalty/interest as may be determined by the assessing authority. (1.) Name and Style of activity of providing entertainment. (2.) Address of the Main Office and Place of entertainment.- Main Office Name of Boat /Cruise and Regn. details Seating Capacity No. of trips per month Rate charged per person for admission (3.) Constitution of the entity providing entertainment ( Attach Documents) Nature Names and Address of Partners/ Proprietors/ Managing Director/ Office bearers/ Key persons 1. 2. 3. (4.) Nature of Entertainment (5.) Registration No. under Goa Entertainment Tax Act, 1964 (if granted) Signature of the applicant and status Full address for correspondence.- The above application having been considered and the permission is hereby granted to applicant for payment of composition amount of Rs..........,- (.................) for the month of .............. subject to the condition that (i)the applicant shall deposit the aforesaid amount in the appropriate treasury/ Bank within three days of issue of this order. (ii) He shall not carry passengers in excess of the sanctioned capacity as given above and shall intimate the Commercial Tax Department, Goa, regarding any augmentation of passenger capacity of vessel(s) promptly. (iii) Failure to comply with the conditions by the applicant shall invite penal action as provided under the Goa Entertainment Tax Act, 1964, and Rules framed thereunder. Dated seal ( Commissioner)