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MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM 6-B

[See rule-11- C]

Application for grant of Registration Certificate under section 9-C of the Madhya Pradesh Vat Act, 2002

To,

The ........,..................(designation),

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

FOR OFFICE USE

.

TIN Allotted

 

I request to grant registration and issue an registration certificate for my firm / organisation named..............................................................

as transporter under section 9-C of the Madhya Pradesh Vat Act, 2002. The particulars of my firm / organisation are given below:-

PART A: Basic Information

Name and Full address of firm/ organization Shop No:

Village/Mohallah:

District:

PhoneNo: (0)

Mobile No:

Email:

Street/Complex:

Town/City:

Ward No:

(R)

Fax No;

Website/URL:

2. Occupancy Status Owned/Rented/Leased/Rent-free/Govt. land /Others

(Lease Deed Registry No./ Date

....................................

Registrar Office

Name......................................

3. Full address of principal Place of business of the firm/ organisation (Attach xerox of rental/lease agreement) Shop No:

Village/Mohallah:

District:

PhoneNo: (0)

Mobile No:

Email:

Street/Complex:

Town/City:

Ward No:

(R)

Fax No;

Website/URL:

4. Occupancy Status Owned/Rented/Leased/Rent-free/Govt. land /Others

(Lease Deed Registry No./ Date

....................................

Registrar Office

Name......................................

5. Status of business (mention code only)    
6. Full Name of applicant    
7. Father's name of applicant    
8. Full address of the applicant- Local Address

Shop No:

Street/Complex: Village/Mohallah:

Town/City:

District:

Ward No:

Phone No: (0)

Mobile No:

Fax No;

Email:

Website/URL:

Permanent address

Shop No:

Street/Complex:

Village/Mohallah: Town/City:

District:

Ward No:

Phone No: (0)...... (R)

Mobile No:

Fax No;

Email:

Website/URL:

9. Nature of business Carrying of goods by road.
10. Date of commencement of Business    
11. Date of first transaction    
12. Total receipts of freight till the date of application    
13. PAN of firm ........................................................
14. Language in which account books are written: ........................................................
15. Are account books Computerised YES / NO
16. Have you applied for Profession Tax YES / NO
17. Have you Produced Security YES / NO / NOT APPLICABLE
18. Capital investment Rs.  
19. Source of Investment ....................................................................

PART B; Details of Proprietor/ Partners/ directors/ co-parceners of the firm/organisation

Name and father's name Status ("Proprietor / Partners/ directors ...) Age Local address with telephone no. Perman ent address with telephone no. Extent of interest PAN (if any) Passport Number Driving licence No Voter ID No. Adhar No. Signature Signature, name and address of the with person verifying the signature in column (12)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13)
                         
                         

PART C: Attested Photographs of Proprietor/Partners/Directors/Co-parceners of the firm/ organisation

.

.

.

 

.

.

.

 

.

.

.

 

PART D: Details of Additional Places of Business

With in Madhya Pradesh Outside of Madhya Pradesh

PART E: Details of Bank Accounts

Account Number Type of Account Name of the Bank and full address of the branch

PART F; Details of Registration / licence with other departments

Name of Department / Act Registration/ License number and Date

PART G: Details of property and interest in some other business inside State

Name of proprietor/partners/other persons Details of property owned with complete address and value Registry No. / Date Registry Office (Address) Details of other business with Registration No./TIN, if any, and extent of share in it
         
         
         

Part-H -Details of property and interest in some other business outside State

Name of proprietor/partners/other persons Details of property owned with complete address and value Registry No. / Date Registry Office (Address) Details of other business with Registration No./TIN, if any, and extent of share in it
         
         
         

PART I: Person authorized to sign on application/communication with Department of Commercial Tax

Name of Authorized person with father's Status in the firm Specimen signature

name, address and Telephone number (if any)

  

Declaration

I...................................................... (Name) being ................................... of

the above firm do hereby declare that the information and particulars given above in this application are true and correct to the best of my knowledge and belief.

Place..........  
Date: Signature of the transporter

PART J: Verification by 2 already registered / enrolled persons

(1)

I...................................................S/o.............................,......... being authorized

signatory of M/s.............................. holding TIN / Registration No...................... do

hereby declare that I know the applicant(s) of this application form personally and I believe that particulars given in this application form are true and correct.

Place..........  
Date: Signature

(2)

I .............................. S/o ......................................... being authorized ...... signatory of M/s. .......................... holding TIN / Registration certificate No. ........................ do hereby declare that I know the applicant(s) of this application form personally and I believe that particulars given in this application form are true and correct.

Place..........  
Date: Signature

Acknowledgement

Received an application in form 6-B for grant of registration certificate under section 9-C of the Madhya Pradesh Vat Act, 2002 along with an affidavit and a copy of

challan no ......................... dated ........................for Rs ..............in proof of payment of registration fee from Shri..................................

Seal  
Place..........  
Date: Signature of Receiving Official

Employee id:...........

Notes

Code for box 5

Firm/ organization Code
Proprietorship P
Partnership R
Private Limited L
Limited Company A
Public Sector T
H.U.F. H
Co- operative society C
State Government Department S
State Government Undertaking SU
Central Government Department G
Central Government Undertaking U
Others O

Check List of Enclosures:

- Affidavit in support of application.

- Xerox of partnership Deed/ memorandum of association/ registration with department of company affaires/ registration under co-operative society Act.

- Photographs of all co-applicants.

- Verification of 2 TIN / Registration Certificate holding persons.

- Xerox of Rental/ lease agreement of the place of business.

- Xerox of Licence/ registration Certificates with other Department.