FORM
A
(See
Rule 3)
Application for
Registration under Section 7(1)/7(2) of Central Sales Tax Act,
1956.
To
__________________________________
__________________________________
__________________________________
I,__________________________________________________________________________Son of __________________________________________________ on behalf of the dealer carrying on the business known as________________________________________________________________ within the State of___________________________________________________ hereby apply for a certificate of registration under Section 7(1)/7(2) of the Central Sales Tax Act, 1956 and give the following particulars for this purpose.
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1.
Name of the person deemed to be the Manager in relation to the
business of the dealer in the said State 2.
Status or relationship of the person who makes this application
(e.g. manager, partner, proprietor, director, officer-in-charge of the
Government business). 3.
Name of the principal place of business in the said State and
address thereof. 4.
Name(s) of the other place(s) in the said State in which business
is carried on and address of every such place. 5.
Complete list of the warehouses in the said State in which the
goods relating to the business are warehoused and address of every such
warehouse. 6.
List of the places of business in each of the other States
together with the address of every such place (if separate application
for registration obtained under the Central Sales Tax Act, 1956 in
respect of any such place of business, particulars thereof should be
given in detail). 7.
The business is ________ mainly/wholly/partly 8.
Particulars relating to registration, licence, permission, etc.,
issued under any law for the time being in force of the dealer. 9.
We are members of ________________________ 10.
We keep our accounts in_____________________ language and script. 11.
Name(s) and address(es) of the proprietor of business/ partners
of the business/ all persons having any interest in the business
together with their age, father’s name etc. |
|
SL. No. |
Name
in Full |
Father’s
Husband’s Name |
Age |
Extent
of Interest in the business |
Present
address |
Permanent
address |
Signature |
Signature
and address of witness attesting signature in col.8 |
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(1) |
(2) |
(3) |
(4) |
(5) |
(6) |
(7) |
(8) |
(9) |
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12.
Business in respect of which this application is made, was first
started on 13.
The first sale in the course of Inter-State trade was effected on
________________________________ 14.
We observe the_____________ calendar and for
purposes of accounts our year runs from the (English Date)
______________ day of __________
(Indian Date)____________day of ______________
to the English date/ Indian date________________
day of ____________ 15.
We make up our accounts of sales to date at the end of every
month/quarter/half year / year. 16.
[i]The
following goods or classes of goods are purchased by the dealer in the
course of Inter-State trader or commerce for – (a).
resale (b).
use in the manufacture or processing of goods for sale (c).
use in mining (d).
use in the generation or distribution of electricity or any other
form of power (e).
use in the packing of goods for sale/resale 17.
We manufacture, process, or extract in mining the following classes
of goods or generate or distribute the following form of power, namely
____________ 18.
The above statements are true to the best of my knowledge and
belief. |
Name
of the Applicant in full
__________________________________________________________
Signature _______________________________
Status in relation to the dealer ____________________________________
Date _________________________________
Additional
Sheets for Point Nos_______________
Name
_________________________
Address
__________________________
Building
Name _________________________
Building Number____________________________
Ward
Name _________________________
Ward Number ______________________________
Street
/ Road _________________________
Village
/ Town _________________________
STATE____________________________________
District
_________________________ Pin
code___________________________________
Name
_________________________
Address
_________________________
Building
Name _________________________
Building Number ____________________________
Ward
Name _________________________
Ward Number ______________________________
Street
/ Road _________________________
Village
/ Town _________________________
STATE____________________________________
District
_________________________ Pin
code___________________________________
Name
_________________________
Address
_________________________
Building
Name _________________________
Building Number ____________________________
Ward
Name _________________________
Ward Number ______________________________
Street
/ Road _________________________
Village
/ Town _________________________
STATE____________________________________
District
_________________________ Pin
code___________________________________