Form VAT-01(B)(See rule 12(l)) (To be attached with Form VAT-01) Details of additional places of business S.No. Complete Address Use of premises-factory/ Godown/office/sale outlet/any other (to be specified) Telephone Number VERIFICATION The above details are true and correct to the best of my knowledge and belief and nothing has been concealed therein. I further declare that I shall inform the department whenever there is a change in the information provided in this form. Signature....... Place __________ Full name____________ Date _________ Status_______________