The Bihar Professional Tax Rules, 2011.- FORMS
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FORM PT- IA

Application for enrollment under second proviso to Section 5 and Section 6(2) of the Bihar Tax on Professions, Trades, Callings and Employments Act, 2011

(See Rule 4)

I ................................................... (full Name), son of ...................................... (full name) hereby apply for the grant of a registration certificate under Section 5 of the Bihar Tax on Professions, Trades, Callings and Employments Act, 2011 and furnish following particular for that purpose-

(1)	* PAN of the person filing application
(2)	* Name as per PAN
(3)	* Email ID of the applicant :
(4)	* Mobile Number :
(5)	Name of the Firm (if any) : -
(6)	Address (Give details of house number/Shop number/Locality/Post Office/Police Station/Block/ Town/City/*District) :-
(7)	Name of the circle, within whose jurisdiction the address of the applicant is situated
(8)	GSTIN (if any) :-
(9)	Date of liability :-
(10)	Nature of Profession, Trade, Calling or Employment-

I do hereby declare that the particulars furnished in this application are correct and complete to the best of my knowledge and belief.

	Name of the Applicant
	Status (Drop down)