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Government of The People's Republic of Bangladesh National Board of Revenue
Government of The People's Republic of Bangladesh National Board of Revenue
Government of The People's Republic of Bangladesh National Board of Revenue
3. Address of Taxpayer 21, GOUR NITAI SAHA STREET, BONOGRAM ROAD; Wari PS; Dhaka - 1204; Bangladesh
Value SD VAT
Nature of Supply Note
(a) (b) (c)
68
Requested Amount for Refund (SD)
Designation Owner
I hereby declare that all information provided in this Return Form are complete, true & accurate. In case
✔
of any untrue/incomplete statement, I may be subjected to penal action under The Value Added Tax and
Supplementary Duty Act, 2012 or any other applicable Act prevailing at present.
Signature
[Not required for electronic submission]
Sub-form of Part - 6.32: Any Other Adjustments
TOTAL 0 5,000.00 0
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