COUNTERFOIL
THE CENTRAL SALES TAX
(Registration & Turnover)
RULES, 1957.
⁵³FORM 'D'

FORM OF CERTIFICATE FOR
MAKING GOVERNMENT
PURCHASES

[See Rule 12(1)]
(to be used when making purchases 
by Government not being a registered 
dealer)

Central Government / Name of the 
State Govt.............................Name
 of Issuing Ministry / Department

Name and address of office of
 issue ....................................................
To
$ .......................................... (Seller)
.....................................................
Certified that the goods
[^** Ordered for in our purchase 
order No ........................ dated .................... ⁵⁴[and supplied as
 per Bill / Cash Memo
 / Challan No .................. dated............................  as stated
 below:]
/ purchased from you as per bill / 
Cash memo stated below * supplied
 under your challan No ...................
dated ................................ are
 purchased  by or on behalf of the Government of ...............................

Date ................ Signature ............... 

Designation of the Authorised
Officer of the Government.

SEAL OF THE DULY ATHORISED OFFICER OF THE GOVERNMENT
______________________________
*Particulars of Bill / Cash Memo.

Date ............................ No ............

Amount ............................................

$Name and address of the seller
 with name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be retained by the
 authorised officer.)

DUPLICATE
THE CENTRAL SALES TAX
(Registration & Turnover)
RULES, 1957.
⁵³FORM 'D'

FORM OF CERTIFICATE FOR
MAKING GOVERNMENT
PURCHASES

[See Rule 12(1)]
(to be used when making purchases 
by Government not being a registered 
dealer)

Central Government / Name of the 
State Govt.............................Name
  of Issuing Ministry / Department

Name and address of office of
  issue ....................................................
To
$ .......................................... (Seller)
.....................................................
Certified that the goods
[^** Ordered for in our purchase 
order No ........................ dated .................... ⁵⁴[and supplied as
 per Bill / Cash Memo
 / Challan No .................. dated............................  as stated
 below:]
/ purchased from you as per bill / 
Cash memo stated below * supplied
 under your challan No ...................
dated ................................ are
 purchased  by or on behalf of the Government of ...............................

Date ................ Signature ............... 

Designation of the Authorised
Officer of the Government.

SEAL OF THE DULY ATHORISED OFFICER OF THE GOVERNMENT
______________________________
*Particulars of Bill / Cash Memo.

Date ............................ No ............

Amount ............................................

$Name and address of the seller
 with name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be retained by the
 selling dealer.)

ORIGINAL
THE CENTRAL SALES TAX
(Registration & Turnover)
RULES, 1957.
⁵³FORM 'D'

FORM OF CERTIFICATE FOR
MAKING GOVERNMENT
PURCHASES

[See Rule 12(1)]
(to be used when making purchases 
by Government not being a registered 
dealer)

Central Government / Name of the 
State Govt.............................Name
  of Issuing Ministry / Department

Name and address of office of
  issue .............................................
To
$ .......................................... (Seller)
.....................................................
Certified that the goods
[^** Ordered for in our purchase
order No ........................ dated .................... ⁵⁴[and supplied as
 per Bill / Cash Memo
 / Challan No .................. dated............................  as stated
 below:]
/ purchased from you as per bill /
Cash memo stated below * supplied
 under your challan No ...................
dated ................................ are
 purchased  by or on behalf of the Government of ...............................

Date ................ Signature ...............

Designation of the Authorised
Officer of the Government.

SEAL OF THE DULY ATHORISED OFFICER OF THE GOVERNMENT
______________________________
*Particulars of Bill / Cash Memo.

Date ............................ No ............

Amount ............................................

$Name and address of the seller
 with name of the State.  ^**Strike out
 whichever is not applicable.

(Note:-   To be furnished to the 
 prescribed authority in accordance
 with the rules framed under
 section 13(3) by the appropriate
 State Government)