FORM 61-A
[See rule 78 (1A)]
Application for enrollment under sub-section (1A) of Section 62 of the Madhya Pradesh Vat Act, 2002
The................................... (designation),
...................................Circle
Enrollment No. Allotted
I, ..........................................Proprietor/ *Manager/ *Director of proprietorship concern/ *firm/*Society/ Company* known as.................................. whose office is situated at (address) ................................. hereby inform that,-
1. I am carrying on the business of transporting goods under the aforesaid name within jurisdiction of your circle.
2. I am involved in trans-shipment in the State of Madhya Pradesh of goods notified under sub-section (2) of Section 57 carried from a place inside the State to a place outside the State.
3. The particulars of may firm/organisation are given below:-
Part-A : Basic Information
PART B : Details of Proprietor/Partners/Directors/Co-Partners of the firm/organisation
PART C : Attested Photographs of Proprietor/partners/Directors/Co-partners of the firm/organisation
.
PART D : Details of Additional Place of Business
PART E : Details of godown/warehouses
PART F : Details of Bank Accounts
PART G : Details of Registration/Licence with other Departments
PART H : Details of Property
PART I : Details of Interest in some other Business
PART J : Person Authorized to sign on Application/Communication with Department of Commercial Tax
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.
It is requested that an enrolment certificate be granted.
ACKNOWLEDGMENT
Application in Form 61-A Receipt Number .........Date ..../..../....
Received an application in Form 61-A from shri ......................of................. (Name of the business) ..................... Place..................... Circle.
Signature of Receiving Official
(Employee ID ............)