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The Chhattisgarh Value Added Tax Rules, 2006. - FORMS
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FORM 10-B

[See rule 11(1)]

Application for grant of registration certificate under section 16 of the Chhattisgarh Value Added Tax Act, 20005 for dealers eligible for composition under sub-section (2) of section-10

 
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The Commercial Tax Officer

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I................................................Proprietor/Manager/Partner of the business known as............................................................................................................................. hereby apply for grant of registration certificate under section 16 of the Chhattisgarh Value Added Tax, 2005

2. Particulars of Proprietor/partner-

Name Father's Name Age present address Permanent Address Extent of interest in business Signature
1 2 3 4 5 6 7
             
             

3. Nature of business (purchase-sale/cooked food manufacturer) ...............................................
4. Name of commodities ...............................................
5. Date of Commencement of the business ...............................................
6. Gross Turnover from the date of commencement of business to the date of making the Application ...............................................
7. Date of liability to pay tax. ...............................................

8. Particulars of Income Tax permanent account numbers (PAN) -

S.N. Name of the Person Permanent Account No.
1 2 3
     

9. Particular of the bank account-.

S.N. Name of Bank Full address of the Bank Bank account No.
1 2 3 4
       

10. Particulars about the business premises ( Ownership/on Rent) .........................................

Place................... ......................
Date................... Signature

I, hereby declare that the statement made and particulars given are true to the best of my knowledge and belief.

Place................... ......................
Date................... Signature

Documents to be enclosed (The scanned copy of following documents can be uploaded ):-

(i) Copy of PAN

(ii) Proof of ownership/rent of place of business.