5 Mushak 6.3

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Government of the People's Republic of Bangladesh

National Board of Revenue


MUSHAK 6.3
Tax Challan
[See Clauses (C) and (f) of Sub-Rule (1) of Rule 40]
Name of Registered Person:
BIN of Registered Person:
Challan Issuing Address:

Name of Purchaser: Invoice No:


BIN of Purchaser: Date of Issue:
Destination of Supply: Time of Issue:

Unit Amount Value Added Value Added Tax


Goods/Service Description(Incases with Unit of Total Value 1 Value all kinds
S.L NO Quantity Value 1 Supplementary Tax rate/ rate/ Specific Tax
Brand Name) Supply (TAKA) of Duty & Tax
(TAKA) Duty (TAKA) Specific Tax Amount(TAKA)

1 2 3 4 5 6 7 8 9 10

Total

Name of organization Officer-in-charge:


Designation:
Signature:
Seal:

* Applicable to the supplies made to the withholding entity only and in that case it will be used as combined tax invoice cum withholding certificate.

* Value except all kinds of Tax.

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