Form VAT - XXVIII [See rule 25(2)(iv) of the Goa Value Added Tax Rules, 2005] REGISTER FOR TAX DEDUCTION AT SOURCE MADE UNDER SECTION 28 OF THE GOA VALUE ADDED TAX ACT, 2005 (Act 9 of 2005) Sr.No. of certificate of tax deduction at source To whom issued with his TIN Date of issue Amount for which issued Chalan/Scroll no. and date of remittance of the amount in Government Treasury Remarks (1) (2) (3) (4) (5) (6)