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

Serial No.

[Application for enrolment will not be accepted if the same is not complete in all respects and the required documents are not submitted along with the application]

FORM II

Application for a certificate of Enrolment/Revision of Certificate of Enrolment under sub-section (2) or sub-section (2A) or sub-section (3) of section 5 of the Maharashtra State Tax on Professions, Trades, Callings and Employments Act, 1975. [See rule 4(1)]

(PLEASE USE BLOCK LETTERS ONLY)

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

I hereby apply for a Certificate of Enrolment under section 5 of the Maharashtra State Tax on Professions, Trades, Callings and Employments Act, 1975 as per particulars given below:-

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 Applicant (in case if Director of Company or Authorized signatory is foreign national who does not hold PAN)


Name of the country issuing passport.

2. Name of the applicant :

A Firm / Company / Trust /Society/Institution etc.

B. Individual

[Please tick the appropriate Box]

2A Name

i) In case of Firm / Company / Trust/ Society /Institution etc.

ii) In case of an individual person,-

Surname

First Name

Middle Name

3. Date of Birth

In case of Individual person
In case of Individual person	D	D	M	M	Y	Y	Y	Y

4. Entry No. under Schedule I of the Profession Tax Act	Entry		Sub entry

5. Month of commencement of The Profession /Trade /Calling / Employment
	M	M	Y	Y	Y	Y

Full address of the applicant (Residential)

Block 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

Name and Address of place of work/business/activity in Maharashtra State (attach separate list if more than one place

Name of work/business/activity (if applicable)

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.

9	Particulars furnished with reference to Schedule entry or entries
Entry No		Particulars

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)

FOR OFFICE USE ONLY

Date of receipt of Application

Application scrutinized by

(Name and Designation)

Application scrutinized by

(Signature)

Application approved by

(Signature)

Data entry checked by

(Name, Designation and Signature)

Details of E.C.

Number

Amount of tax payable Rs.

Date by which to be paid

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-II from _____________________________

Name of the Applicant ________________________________________________________

Full Postal Address ___________________________________________________________ ___________________________________________________________________________

Receiving Officer's Signature _________________________ Date ________________