FORM JK/ED-21 (See rule 24) Return of Complimentary Tickets Name of proprietor----------------------- Name and place of entertainment-------------------------- ______________________________________________________________________________ Date Time of Rate of ticket for No. of Number of Amount of Remarks Performance the class for which tickets persons entertainment The ticket has been issued admitted duty charged issued ______________________________________________________________________________________ 1 2 3 4 5 6 7 Dated ----------------------- Signature of the Proprietor
