FORM 103 (See sub- rule (1) of rule 10) APPLICATION FOR CANCELLATION OF REGISTRATION To, THE REGISTERING AUTHORITY, ............... ............... I............... on..... behalf ......of .............. (Here state the name of registered dealer ) submit the application for the cancellation of the Certificate of Registration No......., Issued on ....... This application for cancellation of the said certificate of registration is submitted on account of ........ (a) (i) discontinuance/transfer of the business on ........(date) (ii) The business is transferred to ......(name of the dealer )who is registered dealer dated ....../ a dealer not registered. (iii) after discontinuance/transfer of business, my present occupation is ......... (Give details of present occupation, if any); (b) The aforesaid registered dealer has ceased to be liable to pay tax under the Gujarat Value Added Tax Act, 2003. The details of total turnover and taxable turnover of the aforesaid dealer during the year...... (Here write the year in which the aforesaid turnover has remained below the threshold of turnover specified under section 3), are as under:- Period Total turnover Taxable turnover (Rs) (Rs) (1) During the preceding Year ended on... (2) During the current Year Commencing From ..... and ending on the date of Application. I............. Do hereby declare that what is stated herein is true and complete. Place...... Signature........ Date...... Statue *Strike out whichever is not applicable ** To be signed by the dealer or any person duly authorized by him. Acknowledgement Received an application in Form 103 signed by Shri........dated.....for cancellation of Certificate of Registration No........ Dated...... Serial No...... ....... Receiving Officer FOR OFFICE USE (1) Certificate of Registration No...... is cancelled on...... (2) Details of cancellation published under rule 11 on ........ Registering Authority
