THE PUNJAB VALUE ADDED TAX FORMS, 2005.
-

FORM VAT-1

[See rule 3(2)]

APPLICATION FOR REGISTRATION

Cover Page

Checklist of Mandatory Supporting documents

	Annexure I
	Annexure II
	Annexure III
	Copy of deed of constitution (Partnership deed [if any], Trust deed, Memorandum and Articles of Association etc) duly certified by the applicant
	Copy of resolution passed by Board of Directors in case of Company and Governing Body in case of other bodies (Society, Trust etc) evidencing authorization of the signatory to the application
	Personal bond or Bank Guarantee
	Treasury receipt for Application Fees
	Proof of identification of Signatory
	Proof of principal place of business (lease, rent deed, etc.)
	Evidence of eligibility for registration for VAT/TOT
	Statement of stock, if requesting change in registration status from TOT to VAT

For Office Use Only

	Date of receipt: ___________________________
	Serial number of the Acknowledgement Receipt: ____________________________

	Accepted Visit Date: _______________	Certification No. _________________
	Date of Issue _____________________

	Rejected Reason(s) for rejection __________________________
	Frequency of filling return : ______________________________
	Name of receiving official: ___________________	Designation : ____________________
	Office Code : _____________________	Signature ________________________

1. Instructions:

1.	Please fill in all the details in CAPITAL letters
2.	For field 2, give details of the trade names if the business is carried on in different names.
3.	For field 3, please not that it is mandatory for you to register as VAT Registrant if you are:
a.	a manufacturer whose annual turnover exceeds Rs. 1,00,000/; OR
b.	an importer, who brings goods worth more than Re 1/ into Punjab from any place outside its territorial Jurisdiction (including form other States and Union Territories in India ); OR
c.	a dealer having registration under CST Act, 1956 and who wishes to retain the CST status; OR
d.	none of the above, but you have an annual turnover greater than Rs. 50,00,000/

	In case you are not a manufacturer and do not fall into any of the above categories but you have an annual turnover greater then Rs. 5, 00,000/-, you have the choice to opt for EITHER VAT registration. Please note that if you are a person for whom it is mandatory to register as VAT registrant, you will have to tick VAT (obligatory). In case you choose to opt for EITHER VAT registration OR TOT registration OR TOT registration, You will have to tick VAT (voluntary) or TOT respectively

4.	For field 7, more than one boxes may be ticked if applicable. Please not that an importer is a person who brings goods into Punjab form any place outside its territorial jurisdiction including from other states and Union Territories in India

5.	For field 7, please name the main nature of business on the basis of value or turnover.

6.	For field 8. Please name the main goods sold on the basis of Value. Please note in case you are an exclusive kirana of general merchandise dealer then please write General merchandise

7.	For field 9, if authorised representative does not have a PAN, then please mark Applied for pr N/A as applicable

8.	Registration application should be verified and signed by an authorised representative, as defined below:
	a.	proprietor , in case of proprietorship concern
	b.	partner, in case of Partnership firm
	c.	managing director or authorized signatory, in case of a company
	d.	manager or karta, in case of Hindu Undivided Family
	e.	Principal officer managing the business, in case of any association of individuals
	f.	authorised representative, in all other cases

II.	Instructions for using Annexure I of Registration application

1.	To be filled in if the applicant is not a company.
2.	The format is to be used for providing details about person (s) who have interest in the business; and whose details have either not been notified to the Department or have undergone changes not notified to the Department.
3.	If required please make additional photocopies of the Annexure and attach with Registration application
4.	Every sheet filled in Annexure I format has to be signed by the same Person (authorised representative) whose particulars are being provided that sheet
5.	Please paste passport size photographs of the person whose details are being provided.

III.	Instructions for using Annexure II of Registration application.
1.	The format is to be used for providing details about all places of business including the principal of business
2.	If required, please make additional photocopies of the Annexure and attach with the registration application
3.	Every sheet filled in Annexure II format has to be signed by the same person (authorised representative) who has signed on the registration application

IV.	Instructions for using Annexure III of Registration application.
1.	This Annexure needs to be used for providing details about the authorised representative
2.	Declaration provided in the Annexure needs to be signed by all the persons having interest in the business
3.	If space is inadequate, please provide the declaration in another sheet in the given format

FORM VAT-1

[See rule 3(2)]

Application for Registration

1.	Name of the applicant ________________________________
2.	Trade name in which business is carried on (if different from name of applicant )
3.	Type of registration

Tick as applicable

VAT (Obligatory)

VAT (Voluntary)

TOT

4. Expected Turnover in the current financial year

Tick one

Rs 50 lacs or above

Less than Rs 50 lacs but greater than Rs 5 lacs

5. Date from which liable to tax

__	__	/	__	__	/	__	__	__	__
D	D		M	M		Y	Y	Y	Y

6. Constitution of business

Tick one	Proprietors hip	Private Ltd. Company	Government Corporation
	Partnership	Public Ltd.	Government Corporation
	HUF	Society / Club / Trust	Central / State Government
* Others, please specify ________________________________________ (Please fill details about persons having interest in business Annexure I)

7. Nature of business
Tick all applicable	Manufacture	Distribution	Wholesale
	Retail	Export	Import
	Works Contract	Leasing
	Others, please specify _______________________________
8. List of principal goods manufactured / sold		_______________________________
9 . Permanent Account Number (PAN), if available ____________________
10. Registration number under Central Excise Act (if applicable ) ________________ .

11. Main operating bank account
	Bank name : __________________	Address : _____________________ _____________________________
	Account No. : _________________	_____________________________ _____________________________

12. Address of Principal place of business in Punjab.

Building Name / Number	________________________________________________
Area / Road	________________________________________________
City	________________________________________________
Pin Code	________________________________________________
E-mail Id	________________________________________________
Telephone Number (s)	________________________________________________
Fax Number (s)	________________________________________________

Number of places of business in India (attach details about places of business including that of other places of business in Punjab		Within State (Nos. only )	Outside state (Nos. only)
	Factories	_______________	_______________
	Godowns /Warehouses	_______________	_______________
	Branches	_______________	_______________
	Shops/Retail outlets	_______________	_______________
	Others (Please specify)	_______________	_______________

14. Total no. of enclosures

Verification

I certify that the information given in this form and its attachments (if any ) is true and correct to the best of my knowledge and belief and nothing has been concealed.

Signature

Full name of authorized

Representative

Designation

Date

Place

Photograph

ANNEXURE - I

PARTICULARS OF PERSON(S) WITH INTEREST IN BUSINESS

______________________________________________________________________________________________

1. Name of the Business

_____________________________________

2. Full Name

_____________________________________

3. Fathers / Husbands Full Name

_____________________________________

4. Date of Birth (in case of minors)

	_	_	/	_	_	/	_	_	_	_
	D	D		M	M		Y	Y	Y	Y

5. Gender

Male

Female

Tick as application

6. Principal Place of Business

Building Name / Number	________________________________________________
Area / Road	________________________________________________
City	________________________________________________
Pin Code	________________________________________________
E-mail Id	________________________________________________
Telephone Number (s)	________________________________________________
Fax Number (s)	________________________________________________

7. Permanent Residential Address

Building Name / Number	________________________________________________
Area / Road	________________________________________________
City	________________________________________________
Pin Code	________________________________________________
E-mail Id	________________________________________________
Telephone Number (s)	________________________________________________
Fax Number (s)	________________________________________________

8. Status and extent of interest in business

Status _____________

% ______________

9. Particulars of interest in any other business(es) within Punjab, if any.

-------------------------------------------------------------------------------------------------------------------------

Name of other business

Complete Address of other business

VRN / TRN

CST Registration No

Nature and extent of interest in the business

10. Particulars of all immovable property owned by or in which the person has any interest

-------------------------------------------------------------------------------------------------------------------------

Description of property

Full address of the property

Nature and extent of interest in the property

Verification

I. certify that the information given in this form is true and correct to the best of my knowledge and belief and nothing has been concealed.

Signature	_________________________________________________
Full name of the person	_________________________________________________
Designation	_________________________________________________
Place	_________________________________________________
Date	_________________________________________________

ANNEXURE - II

Particulars of places of business

1. Principal Place of business

Building Name/ Number	____________________________________________________
Area/Road	____________________________________________________
City	____________________________________________________
Pin code	____________________________________________________
E-mail ld	____________________________________________________
Telephone Number (s)	____________________________________________________
Fax number(s)	____________________________________________________

2. State	_____________________________________
3. Date of establishment	_____________________________________

4. Type

(Tick One )	Godown	Factory/Industries	Shop/Retail outlets
	Office/Branch offices	Other (please specify)

1. Additional Places of business (if more than one, attach separate sheets)

Building Name/ Number	____________________________________________________
Area/Road	____________________________________________________
City	____________________________________________________
Pin code	____________________________________________________
E-mail ld	____________________________________________________
Telephone Number (s)	____________________________________________________
Fax number(s)	____________________________________________________

2. State	__________________________________
3. Date of establishment	__________________________________

4. Type

(Tick One )	Godown	Factory/Industries	Shop/Retail outlets
	Office/Branch offices	Other ( please specify)

Verification

The above statement(s) are true and complete to the best of my knowledge and belief and nothing has been concealed. I further declare that I shall inform the department whenever is a change in the information provided above

Signature	________________________________________________
Full name of person	________________________________________________
Designation	________________________________________________
Place	________________________________________________
Date	________________________________________________

ANNEXURE - III

Particulars of authorized representative

1.	Name of the Business	_________________________________
2.	Place of business with address	_________________________________
3.	Full Name of the Authorised representative	__________________________________
4.	Designation	_________________________________

5. Permanent Residential Address

Building Name/ Number	_______________________________________________
Area/Road	_______________________________________________
City	________________________________________________
Pin code	________________________________________________
E-mail ld	________________________________________________
Telephone Number (s)	________________________________________________
Fax number(s)	________________________________________________

6. Date from which authorised to act as an authorised representative

	_	_	/	_	_	/	_	_	_	_
	D	D		M	M		Y	Y	Y	Y

Declaration

I/We declare that the person named above is authorised to act as an authorised representative for the above referred business for which application for registration is being filed/is registered under Punjab VAT Act, 2005. His all actions in relation to this business will be binding on us.

Signatories

Full Name

Signature

Status

Acceptance as an authorised representative

I, accept to act an authorised representative for the above referred business.

Signature

Full name of the person	_______________________________
Designation	_______________________________
Place	_______________________________
Date	_______________________________