Bihar Value Added Tax Rules, 2005 FORMS
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Body

Form-A-XV

Application for Registration Under Section 19(6) of The Bihar Value Added Tax Act, 2005. (See Rule 3(11)]

To,

The ..................................

.............................. Circle.

I............................ (Full Name), Son of ............................ (Full Name) hereby apply for the grant of a registration certifiate under Section 19(6) of Bihar Value Added Tax Act, 2005 and furnish following particulars for that purpose:-

1	Business name of Transporter, Carrier, etc.
2	Name of applicant
3	Name of the father/husband of applicant.
4	Present address of the applicant.
5	Parmanent address of the applicant
6	Address of Place of Business / Registered Office of transporter, Carrier etc.
7	Particulars of Additional place of Business. (Attach list separately if necessary) (a) Head Office (b) Branch Office (c) Godown
8	Telephone No. With STD Code & Mobile No. If any,
9	E-mail ID if any
10	Fax No.
11	Status of business whether individual / H.U.F./ Firm / Company / Society / Club / Association / Government Department / Corporation etc.:-
12	Name, address and PAN No. of Proprietor, Partner of Transport Company. (i) (ii) (iii)
13	Address of godowns of Transorters etc. Situated in the Circle & branches in the State in other Circle:-
14	Particulars of Vehicle No. In the name of Transport Company, or in the name of its proprietors, partners etc.
15	Particulars of Registration in other Acts if any.
16	Details of Bank A/c. of the Company, Proprietor, Partners etc. (Name of the Bank, Branch, Nature of Account, A/c.No. etc.)
17	Details of proof of payment of Registration fee.

Note- Attach separate list wherever it is necessary,

Declaration

I..................................................... S/o. D/o. W/o.................................... hereby declare that the particulars given above are correct and true to the best of my knowledge and belief. I underake to inform immediately to the registering authority in the Commercial Taxes Department of any change in the above particulars.

Date:	Signature of the Applicant
	Status

Place	Introducer (a registered dealer or a registered transporter etc.)

Date:	Signature
	Name and Status
	Firm's name & Address.-
Place	TIN/Regd. No./Service Provider No.(SPN) of transporter etc.-

Registration application should be submitted before the registering authority within thirty days from the date of commencement of business and if business is already in existence, within 30 days from the date of the commencement of the Act/Rule.