Form D
[See Rule 27(i)]
_______________________Race
meeting ________________Day___________________________
date
__________________
| No
of tickets sold at totalisators and class |
Price
of totalisator tickets sold including tax |
Gross
Receipts |
Percentage
rate of tax |
Total
amount of tax collected for each race meeting |
|
| Enclosure |
Tickets
sold |
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Rupees:
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DECLARATION
I
declare that to the best of my knowledge and belief the information furnished in
the above statement is true and complete and that it relates to
______________________________________.
Place:
Date:
Signature
of the manager of race club