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9. Period for which registration is required ( For Causal Dealer only):

12. Details of Principal Place of Business

Location of GST Office having Jurisdiction over place of Business

Contact Details

Electricity Bill Details

13. Details of the Additional Place of business/ Godowns/ warehouse in Maharashtra

15. Commodities to be Sold

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16. Details of Proprietor/ all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations /Board of Trustees / all persons having any interest in the business.*

Permanent Address

Present Address

17. Details of Manager / Authorized Signatory

18. Details of Authorized Representative (STP/Advocate/CA/CS etc.)

4. Constitution Of The Business

5. Nature Of business

6. Principal Commodities in which business is done

7. EAC (Economic Activity Code) (As per Schedule-I appended to the rules)

8. Basis of incurring liability to pay tax

9. Date Of Liability

12. Script in Which Account Book are maintained

13. The names, addresses and other details of the proprietor, each of the partner or member, Karta of Hindu Undivided Family and each director (in case of private limited company) are attached as per Annexure-I.

Before

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After

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14. Attested copy of the partnership deed /Memorandum of Association and Articles of Association/ other agreement/ document---------- is/ are enclosed.

Before

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After

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15. The details of additional place(s) of business are attached as per Annexure-II

16. The list of goods required to be purchased for use in manufacture, telecommunication network, generation or distribution of electric energy or other power captive use or packing of goods and use as capital goods is attached as per Annexure-III.

Before

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After

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17. The details of security furnished are attached as per Annexure-IV

18. Passport size (self-signed) photographs of the proprietor, each of the partner, Karta of Hindu Undivided Family and each director (in case of private limited company) ect. are pasted below

Annexure-I

To be attached with form VAT-1

Information about Proprietor, Manager (duly authorised), each Partner (in case of partnership business)/Director (in case of Private Company) separately, Karta of Hindu Undivided Family.

Permanent Address

Present Address

Annexure-II

(To be attached with form VAT-1)

(To be attached with form VAT-I)

Details of Stock of goods (other than capital goods) as on 31.03.2005

1. Total value of the stock as on 31.03.2005: Rs.0.00
2. Value of goods out of (1) above which are lying in the form in which these were purchased: Rs.
3. Value of manufactured goods including goods in Rs. process(in case of a manufacturing concern):
4. Break-up of value of goods at (2) above:
   
   Value of stock of goods as on 31.03.2005 (in Rs.):

   Rate of tax

   Value of goods

   Tax element in value

   Tax free goods

   Taxable goods (purchased without payment of tax)

   Value of goods purchased from outside the State

   Total
5. Break up of value of goods used in the manufacture of goods at (3) above:
   
   Total Value (in Rs.):

   Value of goods purchased within the State (in Rs.):

   Rate of tax

   Value of goods

   Tax element in value

   Tax free goods

   Taxable goods. (purchased without payment of tax)

   Value of goods purchased from outside the State