Return form for Banquet Halls, Farm Houses, Local Bodies, Clubs, Caterers, etc.

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..... d mm yy 2. Enrolment No. 3. Full Name of Dealer .....

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..... ) Date of function (iv) Exact Time of function (as booked) (from to Hours) (v) Particulars on whose name booked Name .....

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..... (x) Rate per person/Plate (Rs.) (excluding VAT) (xi) Total value of food sold (excluding VAT) (xii) Total value of liquor sold (excluding VAT) 8. Verification I/ We _____________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed there from. Signature of Authorised Signatory _________________________________________ Full Name (first name, middle, surname)____________________________________ .....

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