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The document is a FORM VAT -103, which serves as a Registration Certificate for dealers liable to pay Value Added Tax (VAT) under the Orissa Value Added Tax Act, 2004. It certifies the registration of a dealer, providing details such as the dealer's name, principal business activities, address, and assigned Identification Number (TIN). The form also outlines the types of goods purchased or manufactured by the dealer and includes instructions for proper completion and display of the certificate.

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