THE KERALA GENERAL SALES TAX RULES, 1963

FORM No. 3IA

FORM OF APPLICATION

See Rule 39A and Section 45A

To

The Board of Revenue ...........................................

Deputy Commissioner of Sales Tax

The ...........day of ..............................20.......

1. Name (s) of applicant (s)

2. Authority passing the order in dispute

3. Date of communication of the order against which the application is filed

4. Address to which notice may be sent to the applicant (s)

5. Relief claimed

6. Grounds of application

(Sd/-) Applicant(s)

VERIFICATION

I/We ...........................................................the applicant(s) do hereby declare that what is stated above is true to the best of my/our knowledge and belief.

Verified today ................the ..................................day of 20...........

(Sd/-)

Applicant(s)

Strike out whichever is not applicable.