THE UTTARAKHAND (THE UTTARANCHAL VALUE ADDED TAX RULES, 2005) FORMS
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FORM I

(See sub-rule (1) of rule 7)

APPLICATION FOR REGISTRATION/ VOLUNTARY REGISTRATION UNDER SECTION 15 OR SECTION 16 OF THE UTTARANCHAL VALUE ADDED TAX ACT, 2005.

To,

The Assessing Authority, Commercial Tax

Sector__________Circle___________

1-(a) Name of applicant:	------------------------------------------------------------------------------------
(b) Father's /Husband's name:	------------------------------------------------------------------------------------
(c ) Residential address:	------------------------------------------------------------------------------------
(d) Status in business :	------------------------------------------------------------------------------------
2-Name and style of business -	------------------------------------------------------------------------------------
3- Principal place of business :	------------------------------------------------------------------------------------
In Uttaranchal with complete address:	------------------------------------------------------------------------------------ Tel.Ph.No.----------------Fax------------------e-mail--------------------------
4- Name and address of Registered/Head office, if situated outside Uttaranchal with Sales Tax Registration Nos.	------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------ ------------------------------------------------------------------------------------ Registration No.(State)--------------------(C.S.T.)------------------------------------- Tel.Ph.No.--------------Fax-------------------e-mail------------ ----------------------

5-Name and address of all other places of business including depots and branches in Uttaranchal:

Sl. No.	Address of business place	Name and complete address of owner of the premises	Telephone number	If rented premises
Sl. No.	Address of business place	Name and complete address of owner of the premises	Telephone number	Amount of rent per month	Date from which taken on rent
1-
2-
3-
4-

6-Name and address of all other places of business including depots and branches outside Uttaranchal:

Sl. No.	Address of business place	Name and complete address of owner of the premises	Telephone number	If rented premises
Sl. No.	Address of business place	Name and complete address of owner of the premises	Telephone number	Amount of rent per month	Date from which taken on rent
1-
2-
3-
4-

7-Location of factories, workshops, godowns, ware houses etc.:

Sl. No.	Purpose (factory/ workshop etc.)	Address	Name and address of owner of the premises	Telephone number	If rented premises
Sl. No.	Purpose (factory/ workshop etc.)	Address	Name and address of owner of the premises	Telephone number	Amount of rent per month	Date from which taken on rent
1-
2-
3-
4-
5-
6-

8 Nature of business	(a) Manufacturer	(b) Importer	(c ) Trader (wholesale)	(d) Trader ( retail)
( Tick which may be applicable)	(e) Purchasing Commission Agent	(f) Selling Commission Agent	(g) Exporter	(h) Distribution of Electrical Energy
	(i) Works contract	(j) Lesser (Transfer of right to use goods)	(k) Others

9-Broad categories of goods (with commodity code)in which business is carried on:

Nature of Sales	Nature of Business	In own account						In capacity of Commission Agent
		After manufacture		After purchase				In capacity of Commission Agent
		After manufacture		Within Uttaranchal		From outside Uttaranchal		Purchasing Commission Agent		Selling Commission Agent
		Code	Comm.	Code	Comm.	Code.	Comm.	Code.	Comm.	Code.	Comm.
(a)Inside Uttaranchal
(b)In the course of Inter-state trade
( c) In the course of Exports outside India
(d) Through Consignment outside Uttaranchal

10- Initial Capital Investment (in words) Rs.-----------------------------------------------------------

(in case of old business, specify investment on the first day of current financial year)

11- Date of commencement PURCHASE-------SALE---------WORKS CONTRACT-------of business:

12- Total amount of sale and purchase of goods

	PURCHASE	SALE
(i) During current year (Estimated/Actual)
(ii) During last year (if old business )

13-Estimated annual turnover of sale of goods :-------------------------------------------------------

14- Details of banks with whom account is maintained or through which transactions are ordinarily carried on :

Sl. No.	Name of Bank	Branch address	Nature of Account	Account Number	Remarks
1-
2-
3-
4-

15-(a) Accounts maintained in:	Computerised system	Manual system
(Tick which is applicable)


(b) Accounting year	From ----------------To---------------------------
(c) Name of books of account ordinarily maintained :	---------------------------------------------------
(d) Address of places where books of accounts are / will be ordinarily kept
(i) for current year	------------------------------------------------------
(ii) for previous years	------------------------------------------------------

16- Registration Number	(i) Under Uttaranchal Trade Tax Act --------------
(if any )	(ii) Under Central Sales Tax Act -----------------------
	(iii) Under Central Excise & Tariff Act -------------------
	(iv) PAN under Income Tax Act ---------------------------
	(v) Under Companies Act ---------------------------
	(vi) Importer/Exporter Code ----------------------------

17-Details of deposit of Registration fees	(a) Treasury challan No. --------------------Dated ----------------
(including late fee, if any )	Amount Rs.-----------(Registration fees ---------Late fee-----)
	Name of Bank (with Branch)/ --------------------------------
	Treasury or Sub-Treasury ----------------------------------------

18- Details of annexure (See rule 7 and also foot note at the end of the Form)

(i) Details of Proprietor/ Partners/ Members and Karta of Joint Hindu Family/ Trustee/ Receiver or Guardian of a minor or incapacitated person/Directors and Principal Officers of Private Limited Company or Public Limited Company (as the case may be)in Annexure-I or Annexure-II (Total-----sheets.)

(ii)---------------------------------------------	(iii)---------------------------------------------
(iv)-------------------------------------------	(v)--------------------------------------------

Passport size photograph of the applicant to be affixed

DECLARATION

I, --------------------------------------------(applicant) do hereby

declare that the particulars furnished in this application are true and complete to the best of my knowledge and belief, and no material particular has been concealed.

Place :--------------------	Signature of the applicant ------------------------------
Dated:---------------------	Name : -------------------------------------------------
	Status in business -------------------------------------


	(SEAL)

FOR OFFICE USE ONLY

CERTIFICATE OF REGISTRATION

(See rule 9)

CERTIFIED that S/Sri------------------------------------------------------------(name of the dealer)whose principal place of business is situated at -------------------------------------------

------------------------(complete address of the dealer ), is hereby registered as a dealer, subject to the provisions of the Uttaranchal Value Added Tax Act, 2005, with effect from ------------- and is allotted Registration Number

The Registration shall, unless renewed or cancelled, remain in force till March 31,-----

There are the following Branches:

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

Certificate Issued

Book No.------

Serial No.------

Assistant Commissioner,

Sector -----------------------

(SEAL)

Circle -----------------------

Date -------------------------

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

Details of Renewal of Certificate of Registration

Date of receipt of application in office	Details of deposit of fees			Date of order	Year for which certificate is renewed	Signature of Asst. Comm.	Remarks
Date of receipt of application in office	Treasury challan number	Date	Amount	Date of order	Year for which certificate is renewed	Signature of Asst. Comm.	Remarks

Details of amendments made in Certificate of Registration after issue of the Certificate

Date of order	Nature of amendment (in brief)	Date from which amendment is effective	Signature of Asst. Comm.

Note :

(1) Please use separate sheet where space is inadequate.

(2) In address ( wherever required in the form ),please give complete details as House No., Street , Mohalla,Village/Town/ City, post office and District.

(3) Regarding Sl. No. 5 and 6 in the form, if the business place / places is / are owned by the dealer, the proof of ownership and, if these are rented, copies of lease deed should be attached .

ANNEXURE-I (Form-I)

(Annexure-to Application for Registration)

Details of particulars of Proprietor/ Partners/ Members and Karta of Joint Hindu Family/ Trustee/ Receiver or Guardian of a minor or incapacitated person or (as the case may be):

PHOTOGRAPH (Passport size) to be affixed

(A) Personal details -

1- Full name
2- Father's / Husband's name
3- Date of birth/ Age
4- Present residential address
5- Permanent residential address
6- Status in business and extent of interest
7- PAN under Income Tax Act

(B )Details of other business in Uttaranchal in which the person has any interest :

1- Name and style of business
2- Full address of principal place of business
3- Nature of business
4- Sale Tax Registration No. with Circle /Sector where registered
5- Any arrears against business establishment

1- Description of property

(House No./Khasra No./

Mohalla /Village/Town/ Tahsil/District

2- Nature and extent of interest in property

3- Estimated value of such interest

Signatures and Photographs Attested	Signature --------------------
Signature ---------------------------------	Name --------------------
Name ---------------------------------	Status --------------------
Status ---------------------------------	Date------------------

Note:- Copy of document in support of the ownership of the property should be attached.

ANNEXURE-II (Form-I)

(Annexure-to Application for Registration)

Details of particulars of Directors and Principal Officers of Private Limited Company or Public Limited Company (as the case may be):

PHOTOGRAPH (Passport size) to be affixed

(A) Personal details -

1- Full name
2- Father's / Husband's name
3- Date of birth/ Age
4- Present residential address
5- Permanent residential address
6- Status in business and extent of interest
7- PAN under Income Tax Act

(B) Details of other business in Uttaranchal in which the person has any interest :

1- Name and style of business
2- Full address of principal place of business
3- Nature of business
4- Sale Tax Registration No. with Circle /Sector where registered
5- Any arrears against business establishment

Signatures and Photographs Attested	Signature --------------------
Signature ---------------------------------	Name --------------------
Name ---------------------------------	Status --------------------
Status ---------------------------------	Date------------------

Note:- Copy of document in support of the ownership of the property should be attached.