Form VAT - XXI [See rule 56 of the Goa Value Added Tax Rules, 2005] APPLICATION FOR ENROLLMENT AS A SALES TAX PRACTITIONER To, The Commissioner of Commercial Taxes, Panaji. I, _______________(address of the office/residence)_____________________________ hereby apply for enrolment of my name in the list of Sales Tax Practitioner under Rule 56 of the Goa Value Added Tax Rules, 2005. I, declare that I am qualified to attend before any Commercial Taxes Authorities under section 82 of the Goa Value Added Tax Act, 2005 (Act 9 of 2005), in accordance with Rule 56 of the said Rules, in that (1) I am retired Officer of the Sales Tax Department/Commercial Taxes Department of ___________________State and while in service I had worked as ________________________ which is a post not lower in rank than that of Sales Tax Inspector/Commercial Tax Inspector and that I have retired from service on superannuation/voluntary retirement before one year. (2) I state that I possess the qualification mentioned in Rule 56 of the Goa Value Added Tax Rules, 2005. Certified copies of certificates/degree/diploma, etc. alongwith originals and 2 copies of my latest photographs are enclosed. The above statements are true to the best of my knowledge and belief. The original documents sent herewith be returned to me on verification. Place: Date: ______________________ Signature of the applicant Encl: As above ACKNOWLEDGMENT Received an application in Form VAT - XXI from ____________alongwith enclosures stated below for enrolment under Rule 56 of the Goa Value Added Tax Rules, 2005. Enclosures received: 1. 2. 3. N.B. Originals will be returned on verification Place: Date: Serial No. Receiving Officer