Schedule 5

FIFTH SCHEDULERegulation 14Form of RegisterPart IEntries to be Made in Case of ObtainingDate on which supply receivedNAMEADDRESSAmount obtainedForm in which obtainedOf person or firm from whom obtained Part IIEntries to be Made in Case of SupplyDate on which the transaction was effectedNAMEADDRESSParticulars as to licence or authority of person or firm supplied to be in possessionAmount suppliedForm in which suppliedStock balance (receipts to be added in red ink)Of person or firm supplied