Fomat of Authorization Letter for Colleting Provisional Password and IDS for GST from State VAT Departments / Authorization Letter for GST Registration
Particulars for Authorized Representative
1. | Name of the Firm : | ________________________________ |
2. | Place of business with address | ________________________________ ________________________________ ________________________________ |
3. | Full name of the authorized representative | ________________________________ |
4. | Designation : | ________________________________ |
5. | Permanent Residential Address : | ________________________________ |
________________________________ | ||
________________________________ | ||
________________________________ | ||
E-mail id | ________________________________ | |
Telephone Number(s) | ________________________________ | |
Mobile Number(s) | ________________________________ | |
Fax Number(s) | ________________________________ | |
6. | Period for which authorized to act as an authorized representative | ________________________________ |
Declaration:-
I/we declare that the person named above is authorized to act as an authorized representative for the above referred business for the purpose of collecting GST Id and password only. His action in relation to this business shall be binding on me/us.
Signatories:-
Full name Signature Status
Acceptance as an authorized Representative:-
I, accept to act as an authorized representative for the above referred business for the afore-mentioned purpose.
Full name of the person | _____________________________________ |
Designation | _____________________________________ |
Place | _____________________________________ |
Date | _____________________________________ |
Signature of authorized representative | _____________________________________ |
Signature of attestor |
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