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THE RAJASTHAN VALUE ADDED TAX RULES, 2006 - FORMS
-

Body

Form VAT-61

[See rule 75(1)]

Application for Registration Certificate by Clearing or forwarding Agent Omitted w.e.f. 1-4-2011

1. Name of Business

 
                                                   
                                                   
 

2. Principal Place of Business

Bldg. No/ Name/ Area

                                               
 
Town/City
                                               
 
District (State)
                                               
 
Pin Code
           
 		 Email Id
                             
 
Telephone Number(s)
                       
 		 Fax No.
               
 

3. Permanent Account Number (PAN), if any

 
                   
 
4. Date of commencement of business

 
 DD / MM / YYYY

 
               
 
5. Date from which liable to be registered, DD / MM / YYYY

 
               
 

6. Type of business of rendering services for

Booking/ delivery of goods at

Railway Station
 
 		 Booking Agency
 
 		 Transport Company office
 
 

Any Others place ,please specify _________________________________________________

7. Constitution of Business

Proprietorship
 
 		 Partnership
 
 		 Private Ltd. Company
 
 		 Public Ltd.Company
 
 
HUF
 
 		 Co-operative Society
 
 		 Others
 
 		  

8. Particulars of the proprietor / partners / directors / Karta / Members of the governing body/ authorised signatory:

1. Full Name
                                               
 
2. Father' / Husband's Name
                                               
 

3. Age

 

   
 
4. Status

                       
 		 5. extent of interest %
     
 
6. Permanent address
                                               
                                               
 
7.Telephone No.
                   
 		 8. PAN (if any)  

9. Name personal identification see rule 12(3)(6)

10. Details (including address) of all immovable property owned by or in which the person has interest/ joint interest

                                                             

                                                             

11. Name & Address of witness

                                                             

                                                             

 
 
 
 		  
 
 
 
Signature Signature of witness

9. Details of branch / additional place(s) of business in State / India

Office
 
 		 Godown / Warehouse
 
 		 Branch
 
 		 Others (please specify)
 
 

Name of Business
                                               

                                               
Bldg. No/ Name/ Area
 
                                               
 
Town/City
                                               
 
District (State)
                                               
 
Pin Code
           
 		 Email Id
                             
 
Telephone Number(s)
                       
 		 Fax No.
               
 

Place :   Signature
Date :    
  Name :  
  Status :  

Verification

I / We verify that the information given in this form and its enclosure(s) (if any) is true and correct to the best of my knowledge and belief and nothing has been concealed. I also verify that Registration No. has not been previously issued to me / us.

Place :   Signature
Date :    
  Full Name :  
  Status :  

For Office Use Only

Registration Number
                   
 		  

Instructions:

1. Please read the instructions carefully

2. All the entries should be filled in capital letters

3. "Tick" applicable in option boxes

4. If required, attach seperate sheet

5. The application should have the following attachments:

    (i) Declaration of business manager in Form VAT-02;

    (ii) Copy, of partnership deed, if any, memorandum and articles of association of a company, constitution deed of trust, association of persons or body of individuals, certified by the applicant;

    (iii) Copy of resolution passed by Board of Directors, in case of a company and of governing body, in case of other entities, for authorisation of a person to file the application for registration certified by the applicant;

    (iv) Signed photo duly attested by a gazetted officer or notary public of following:-

      a) Proprietor, in case of Proprietorship concern;

      b) Every Partner, in case of Partnership firm;

      c) Managing Director / Director or authorized signatory, in case of a Company;

      d) Karta, in case of Hindu Undivided Family; and

      e) Authorised Signatory, in all other cases.

    (v) Copy of voter identification card or passport or Permanent Account Number or driving license.

    (vi) Copy of rent deed alongwith rent receipt, electricity bill or water bill.

    (vii) Own property documents, in support of address proof.

6. The application and all attachments are to be filed in duplicate

7. Any change in any of the particulars mentioned above should be intimated to the Department within 30 days.

8. This Form should be verified and signed by:

a. Proprietor, in case of Proprietorship concern

b. Managing Partner, in case of Partnership firm and where there is no Managing Partner by all the partners in case there is no partnership deed and in case of partnership deed by any one partner.

c. Managing Director or authorized signatory, in case of a Company

d. Karta, in case of Hindu Undivided Family

e. Authorised Signatory, in all other cases

9. Where a clearing or forwarding agent conducts his business in territirial jurisdiction of more than one Asst. commissioner or Commercial Taxes Officer, seperate application is to be filed to the AC/CTO concern

ACKNOWLEDGEMENT

Received from M/s
                                               
 

Form VAT-61 with following enclosures:

(i)

(ii)

(iii)

& so on

Receipt No. Dated: Signature of the receiving official with seal