ANNEXE-3
COUNTERFOIL DUPLICATE ORIGINAL
THE CENTRAL SALES TAX                                                   (REGISTRATION AND TURNOVER)                                                       RULES, 1957 THE CENTRAL SALES TAX                                                   (REGISTRATION AND TURNOVER)                                                       RULES, 1957 THE CENTRAL SALES TAX                                                   (REGISTRATION AND TURNOVER)                                                       RULES, 1957
FORM J FORM J FORM J
Form of Certificate for Claiming Exemption under Section 6(4) Form of Certificate for Claiming Exemption under Section 6(4) Form of Certificate for Claiming Exemption under Section 6(4)
[See rule 12(11A) ] [See rule 12(11A) ] [See rule 12(11A) ]
(To be used when making purchase by diplomatic mission, consulates, United Nations  and other international body and diplomatic atent, consular, officials or personnel thereof) (To be used when making purchase by diplomatic mission, consulates, United Nations  and other international body and diplomatic atent, consular, officials or personnel thereof) (To be used when making purchase by diplomatic mission, consulates, United Nations  and other international body and diplomatic atent, consular, officials or personnel thereof)
Name of the mission, consulate, United Nations or other International body and of the diplomatic agent, consular, Official or personenel thereof, making the purchase ………………………………….…………….. …………………………………….… Country to which the purchaser belongs .................................  ........................  (Designation and office address of the purchaser (with Tel No., Fax No., E' mail address etc.) ..................... ............................................................ Name of the mission, consulate, United Nations or other International body and of the diplomatic agent, consular, Official or personenel thereof, making the purchase ………………………………….…………….. …………………………………….… Country to which the purchaser belongs ................   .....................                                   (Designation and office address of the purchaser (with Tel No., Fax No., E'mail address etc.) ..................... ............................................................ Name of the mission, consulate, United Nations or other International body and of the diplomatic agent, consulat, Official or personenel thereof, making the purchase ………………………………….…………….. …………………………………….… Country to which the purchaser belongs ................................                           (Designation and office address of the purchaser (with Tel No., Fax No., E'mail address etc.) ..................... ............................................................
To,                                                                            ……………………………………….. * (Seller) To,                                                                               ……………………………………….. * (Seller) To,                                                                              ……………………………………….. * (Seller)
Certified that the goods Certified that the goods Certified that the goods
** Ordered for in or purchase order No. ………………… Dated ………………………... ** Ordered for in or purchase order No. ………………… Dated ………………………... ** Ordered for in or purchase order No. ………………… Dated ………………………...
purchased from you as per bill/cash memo stated below*** purchased from you as per bill/cash memo stated below*** purchased from you as per bill/cash memo stated below***
…………………………………………………………….. Supplied under your challan No. ……………….. Dated ………………………….. are purchased for this mission/consulate/body or its diplomatic agent/ consular/official/personnel and the same are eligible for tax exemption u/s 6(4) under an international convention/agreement/law. …………………………………………………………….. Supplied under your challan No. ……………….. Dated ………………………….. are purchased for this mission/consulate/body or its diplomatic agent/ consular/official/personnel and the same are eligible for tax exemption u/s 6(4) under an international convention/agreement/law. …………………………………………………………….. Supplied under your challan No. ……………….. Dated ………………………….. are purchased for this mission/consulate/body or its diplomatic agent/ consular/official/personnel and the same are eligible for tax exemption u/s 6(4) under an international convention/agreement/law.
Date……………………. Signature …………………….. Date……………………. Signature …………………….. Date……………………. Signature ……………………..
                                 Designation of the purchaser/                                                                         Designation of the purchaser/                                                                         Designation of the purchaser/                                       
                Authorised officer with seal of the mission/                  Authorised officer with seal of the mission/                  Authorised officer with seal of the mission/ 
                                     consulate/Body concerned                                      consulate/Body concerned                                      consulate/Body concerned
           …………………………………………………………...……………………………            ……………………………………………………………………...……………………            …………………………………………………………………………..…………
*Name & Address of the seller with name of the state. *Name & Address of the seller with name of the state. *Name & Address of the seller with name of the state.
** Strike out, whichever is not applicable. ** Strike out, whichever is not applicable. ** Strike out, whichever is not applicable.
*** Perticulars of bill/cash memo. *** Perticulars of bill/cash memo. *** Perticulars of bill/cash memo.
     
(Note:- To be retained by the Purchaser) (Note:- To be retained by the Selling Dealer) (Note:- To be retained by the Assessing Authority)