KARNATAKA TAX ON PROFESSIONS, TRADES, CALLINGS AND EMPLOYMENTS RULES, 1976 - FORMS
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FORM 2

[See Rule 4(1) and 6(2)]

Application No..............................

Application for Certificate of Enrolment/Revsion of Certificate of Enrolment under the Karnataka Tax on Professions, Trades, Callings and Employments Act, 1976.

I hereby apply for a Certificate of Enrolment/Revision of Certificate of Enrolment under the above mentioned Act as per particulars given below:-

1.	Name of the Applicant
2.	Full Postal Addresss
3.	Date of birth and age
4.	Profession, Trade or Calling
5.	Period of standing in profession in years and months
6.	No. of other places of works (Please give the address of the places on the reverse)
7.	Annual Turnover of all sales/purchases
*8.	No. of workers engaged in the factory
*9.	No. of employees in the Establishment
*10.	If Co-operative Society whether State level, District level or Taluk level
*11.	No. of vehicles for which permit under M.V. Act is held:	3 Wheelers Trucks and Buses _____________ Total ______________
*12.	Enrolment No. of previous certificate, if any
*13.	Grounds on which revision is sought

* Please fill up whichever is applicable.

To be filled in by persons covered by Sl. Nos. 2, 3 and 8 of the Schedule.

The above statements are ture to the best of my knowledge and belief.

Date:

Signature with Status

(FOR OFFICE USE ONLY)

Enrolment No.
Date of Enrolment	Signature of Issuing Officer

ACKNOWLEDGMENT

{Particulars of name and address to be filled by Applicant)

Received an application for Enrolment in Form

From
Name:	Application No................
Address:	Date...............................
	Signature of Receiving Officer.