THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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Body

"The West Bengal Value Added Tax Rules, 2005"

FORM 90

[See sub-rule (1) of rule 46XB/sub-rule (1) of rule 46XC]

APPLICATION FOR NEW STDS ENROLMENT NO.

WHETHER ENROLMENT NO. GIVEN BY STDC CELL: (Mark in the appropriate box)

Yes:

No:

IF YES THEN ENROLMENT NO.

CONTRACTEE ORGANISATION DETAILS:

CONSTITUTION: (Mark in the appropriate box)

a) CENTRAL GOVERNMENT AGENCIES

b) WEST BENGAL GOVERNMENT AGENCIES

c) MUNICIPALITIES

c) GOVERNMENT UNDERTAKING

d) LIMITED COMPANY

e) PARTNERSHIP FIRM

f) HOSPITAL/NURSING HOME/DIAGNOSTIC CENTRE

g) BANK/TRUST/CO-OPERATTVE SOCIETY

h) EDUCATIONAL INSTITUTES

i) GRAM PANCHAYAT/PANCHAYAT SAMITY/ZILLA PARISHAD

j) PROMOTER

k) OTHERS

WHETHER REGISTERED UNDER WB VAT ACT, 2003: (Mark in the appropriate box)	Yes: No:
IF YES, THEN REGISTRATION CERTIFICATE NO.

NAME OF THE ORGANISATION:

ADDRESS

HOLDING NO./PREMISES NO.

ROOM NO.

CITY/VIILLAGE/TOWN

STATE

PIN.

E_MAIL ID

DIVISION/BRANCH/PROJECT

STREET NO.

FLOOR

DISTRICT

COUNTRY

PAN/TAN

DIVISION/BRANCH/

PROJECT

DESIGNATION OF DDO	NAME OF DDO
TELEPHONE NO.WITH STD& ISD CODE	ISD	STD	PHONE
NAME OF DDO

NAME OF CONTACT PERSON OTHER THEN DDO
TELEPHONE NO.WITH STD& ISD CODE	ISD	STD	PHONE
MOBILE NO.

DECLARATION :

THE ABOVE INFORMATION IS TRUE & CORRECT ACCORDING TO BEST OF MY BELIEF

NAME OF THE PERSON APPLYING

DESIGNATION OF THE PERSON APPLYING