THE MAHARASHTRA STATE TAX ON PROFESSIONS TRADES, CALLINGS AND EMPLOYMENTS RULES, 1975. - FORMS
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Body

Serial No

(Application for registration will not be accepted if the same is not complete in all respects and the required documents are not submitted alongwith the application)

(Please read the instructions carefully before filling the application form)

FORM I

Employers Registration Form

[See rule 3(1)]

Application for Registration under sub-section (1) of section 5 of the Maharashtra State Tax on Professions, Trades, Callings and Employments Act, 1975.

......................................

I hereby apply for grant of registration certificate under section 5 of the Maharashtra State Tax on Professions, Trades, Callings and Employments Act, 1975.

1(A).	Income Tax Permanent Account Number (PAN) of Employer
1(B).	Tax Deduction and Collection Account Number (TAN) of Employer (if applicable)

1 (C) Passport Number of Employer (in case if Director of Company or Authorized signatory is foreign national who does not hold PAN)


Name of the country issuing passport.

Name of the Employer

3	Constitution [Please ? tick the appropriate box]
	Proprietor	Partnership	Private Ltd.Co.	Public Ltd. Co.	Society
	HUF	Co-Operative Society	Public Trust	Others (Please Specify)

Nature of Work / Business / Activity (Mention appropriate Sr. No. from Annexure-II).

(i) Sr. No.

(ii) In case of Serial Number 44, Please specify.

Name of the signatory to the application

Surname

First Name

Middle Name

Status of the Signatory to the application

Proprietor

Partner

Karta/ Adult Member of HUF

Director

Manager

Principal Officer

Authorized Person

Others (Please Specify)

7	Date of commencement of activity of employer
7		D	D	M	M	Y	Y	Y	Y
8	Commencement of liability. Month from which liability to pay tax commences
8				M	M	Y	Y	Y	Y

9	No.of employees on the date of application to whom salary or wages paid per month are
	Salary / Wages	No. of Employees
	(a) Do not exceed Rs.2,500
	(b) Exceed rupees 2,500 but do not exceed rupees 3,500
	(c) Exceed rupees 3,500 but do not exceed rupees 5,000
	(d) Exceed rupees 5,000 but do not exceed rupees 10,000
	(e) Exceed rupees 10,000
	Total

Whether the records are computerized? [Please tick ? the appropriate box.]

Yes

Partially

Full address of the principal place of employer

Office No./ Flat No. Room No/ Bldg. Name

Plot No., Street Name etc.

Area Name etc. and Landmark, if any

Village/Town/City

Taluka

District

Pin Code

Mobile No.1

Mobile No.2

Instruction - STD Code should be prefixed in Telephone Number

Telephone No.1

Telephone No.2

Fax No.

E-mail Address

Occupancy status of the principal place of the work (Please ? tick the appropriate box)

Owned

Rented

Leased

Rent free

Others (Please Specify)

Full address of the additional place(s) of employer (If space is insufficient please take photocopy of this page and attach).

Name of work/ Business/ Activity

Office No./ Flat No.

Room No/ Bldg. Name

Plot No., Street Name etc.

Area Name etc. and Landmark, if any

Village/Town/City

Taluka

District

Pin Code

Mobile No.1

Mobile No.2

Instruction - STD Code should be prefixed in Telephone Number

Telephone No.1

Telephone No.2

Fax No.

E-mail Address

Details of Bank Account(s) [Please attach separate sheet, in case of more bank accounts.]

Name of the Bank

Branch Name

Type of Account

Current

Saving

Account No.

Other information (If applicable)

(1) TIN under MVAT Act, 2002

Date of effect (DD/MM/YY)

(2) TIN under CST Act, 1956

Date of effect (DD/MM/YY)

(3) E.C.No. under Profession Tax Act, 1975

Date of effect (DD/MM/YY)

The above information is true to the best of my knowledge and belief.

Place
Date	Seal	Name and Signature of Applicant Status and Authority thereof

FOR OFFICE USE ONLY

Date of receipt of Application

Application scrutinized by

(Name and Designation)

Application scrutinized by

(Signature)

Application approved by

(Name and Designation)

Application approved by

(Signature)

Data entry checked by

(Name, Designation and Signature)

Date entry validated by

(Name, Designation and Signature)

Details of R.C.

Number

Effect Date

Issue Date

Acknowledgement

Serial No

(Particulars of Name and Address to be filled by the Applicant)

Received an application for Registration in Form-I from _____________________________ ___________________________________________________________________________

Name of the Applicant ________________________________________________________

Full Postal Address ___________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Receiving Officer's Signature _________________________ Date ________________

ANNEXURE-I

(Statement of Name and Permanent Address)

No. of Partners/ Directors/ Members

Name, Permanent Residential Address, PAN Number and P.T.E.C. Number of Proprietor/Partners/Directors/Member of Managing Committee/ all persons engaged in the business (including the members of Hindu Undivided Family Business)

Sr. No.

Full name of Proprietor / Partner/ Director / Member of Managing Committee (Please strike out whichever is not applicable)

Permanent Residential Address

Office No. / Flat No. / Room No. / Bldg No.

Plot No., Street Name etc.

Area Name etc. and Landmark, if any

Village/Town/City

Taluka

District

P.T.E.C. No.

Pin Code

Mobile No. 1

PAN No. or PASSPORT No. (in case if Director of Company or Authorized signatory is foreign national who does not hold PAN)

Mobile No. 2

Instruction- STD Code should be prefixed in Telephone Number

Telephone No.1

Telephone No.2

Fax No

E-mail Address

Sr. No.

Full name of Proprietor / Partner/ Director / Member of Managing Committee (Please strike out whichever is not applicable)

Permanent Residential Address

Office No. / Flat No. / Room No. / Bldg No.

Plot No., Street Name etc.

Area Name etc. and Landmark, if any

Village/Town/City

Taluka

District

P.T.E.C. No.

Pin Code

Mobile No. 1

PAN No. or PASSPORT No. (in case if Director of Company or Authorized signatory is foreign national who does not hold PAN)

Mobile No. 2

Instruction- STD Code should be prefixed in Telephone Number

Telephone No.1

Telephone No.2

Fax No

E-mail Address

The above information is true to the best of my / our knowledge and belief.

Signature (1)

Signature (2)

ANNEXURE II

List of Nature of Business / Work / Profession

(To be filled in Para No.4)

1. Manufacturer

2. Reseller (includes Wholesalers)

3. Retailer

4. Importer

5. Exporter

6. Educational Institutions

7. Banking Institutions

8. Insurance Services

9. Other Financial Institutions

10. Information Technology Services

11. Information Technology Enabled Services

12. Security and Detective Agencies

13. Courier Services

14. Manpower Providers / Labour Contractors

15. Media and Event Management Companies

16. Consultancy Firms / Agencies

17. House Keeping Services

18. Advertising Agency

19. Hotels / Boarding / Lodging

20. Restaurants / Bar

21. Catering Services

22. Tour and Travel Services

23. Vehicle Rental Services

24. Transport, Freight /Cargo Services

25. Hospitals or Nursing Homes

26. Health Clinics / Fitness Centers

27. Beauty Treatment Centers / Parlours

28. Training and Placement Service Centre

29. Service Centers / Maintenance Agencies

30. Market Research Agencies

31. Marketing Services / Agencies

32. Coaching Classes / Training Institutes

33. Gymkhana, Club or Association

34. Construction Agencies / Contractors

35. Cable / DTH Services

36. Printing Press/ Printing Agencies

37. Film / TV Serial Production Agency

38. Business Centers

39. Pest-Control Services

40. Telecommunication Services

41. Electricity Generation, Transmission and Distribution

42. Mandap/ Decoration/ Shamiana Services

43. Commission Agent

44. Others