FORM XI-C PART - I Application for grant of certificate of no deduction / deduction of tax at source from Works Contractor under Sub-section (5) (a) of Section 13-AA of the Orissa Sales Tax Act, 1947 (To be submitted in duplicate). 1. Name, address and to be filled by the applicant. 2. Status and relationship of person making the application with respect to the business. 3. Location of business / Works Contract Executed. 4. The nature of Works Contract executed and date of commencement (copy of contract to be filed with application) 5. Cost of the total value of the project / work. 6. Person involved for completion of Project / work as per the agreement. 7. Nature of agreement, i.e., whether composite or divisible contract. 8. Material component and value thereof as per the agreement. 9. Extent of labour and service component. 10. Whether interest in fiduciary in any company, firm or association of persons carrying on business in Orissa or in course of inter-State Trade. 11. Whether any sales tax proceedings are pending or have been taken in the past. If so, details of the same. 12. Details of yearwise payment, if already received, if any, in respect of the work. 13. Name and address of the Contractor / deducting authority under whom the work is executed. Signature of applicant. Place ..... Date.......
