FORM III TRIPURA VALUE ADDED TAX ACT, 2004 Register of Certificate of Registration issued to Dealer ( Under Rule 12(8) of TVAT Rules ) Charge : _______________ Month : ______________ Sl.No. Dealer's Name & Address Taxpayer's Identification Number and date of issue Name of Taxable Goods sold Manufacturer / Importer/ Whole Seller / Retailer Address of branch, if any Address of warehouse, if any Date of Commencement of liability Registered under section Amount of Security deposited Remarks