103

							                                       FORM 103
                           (See sub- rule (1) of rule 10)
              APPLICATION FOR CANCELLATION OF REGISTRATION

To,
THE REGISTERING AUTHORITY,
…………………………………….
…………………………………….

I……………………………………… on…………… behalf …………….of
……………………………….. (Here state the name of registered dealer ) submit the
application for the cancellation of the Certificate of Registration No……………….,
Issued on ………………… This application for cancellation of the said certificate of
registration is submitted on account of ………………….
(a)     (i)      discontinuance/transfer of the business on ………………..(date)

       (ii)     The business is transferred to ………………(name of the dealer )who is
                registered dealer dated ………………/ a dealer not registered.

       (iii)    after discontinuance/transfer of business, my present occupation is
                ……………………. (Give details of present occupation, if any);

(b) The aforesaid registered dealer has ceased to be liable to pay tax under
    the Gujarat Value Added Tax Act, 2003.

                The details of total turnover and taxable turnover of the aforesaid dealer
                during the year……………. (Here write the year in which the aforesaid
                turnover has remained below the threshold of turnover specified under
                section 3), are as under:-

                Period                           Total turnover           Taxable
                turnover
                                                     (Rs)                      (Rs)
                (1) During the preceding
                    Year ended on…….
                (2) During the current Year
                    Commencing From
                    ……….. and ending on the
                    date of Application.

I………………………………. Do hereby declare that what is stated herein is
true and complete.


       Place………………                                   Signature………………..
Date………………                                  Statue

*Strike out whichever is not applicable
** To be signed by the dealer or any person duly authorized by him.

                         Acknowledgement

Received       an application in Form 103 signed by
Shri………………..dated………….for cancellation of Certificate of
Registration No……………………

Dated………………
Serial No…………….

                                                            …………………
                                                            Receiving Officer


                         FOR OFFICE USE

(1)    Certificate of Registration   No………….. is cancelled on…………..

(2)    Details of cancellation published under rule 11 on ………………..


                                                     Registering Authority