The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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Body

FORM 11

[See Rule 12(2)(a)]

Registration Certificate counterfoil

FORM 11

[See Rule 12(2)(a)]

Registration Certificate

1. Registration Certificate No._________

2. Name of the business ________

3. Name of the applicant __________

4. Status of the applicant in the business____________________

(whether proprietor, partner,Manager/Director)

5. Full address of the principal place of business in Chhattisgarh _____________

6. Nature of business_________

* (i) Trading mainly in _____________

*(ii) Manufacturing mainly __________

*(iii) Mining of ____________________

7. Names and addresses of the additional places of business in Chhattisgarh

No.________________ Circle_________

Registration Certificate

1. This is to certify that ______________

(Name of the business)

(Name of the applicant _______________ with his status in the business, that is whether proprietor /Partner/ Manager/ Director) whose only place of business/principal place of business situated at ________________ (address) is registered under Chhattisgarh Value Added Tax Act, 2005.

2. The nature of business is :-

*(i) Trading mainly in _________________

*(ii) Manufacturing mainly _______________

*(iii) Mining of _________________________

The business has additional places of business at,-

Name	Address
1 ______________	______________
2 ______________	______________
3 ______________	______________
4 ______________	______________

Name	Address
1 ______________	______________
2 ______________	______________
3 ______________	______________
4 ______________	______________

8. Particulars of godowns/Warehouses if any _____________

4. The business has godowns/ware houses at, -

9. Date of issue of the registration certificate ______________________

1. __________________________

2. __________________________

3. __________________________

4. __________________________

10. Date of validity of the registration certificate _______________________

The certificate is valid from _____

Seal
Date ______
	_____________
	Signature of the Commercial Tax Officer