The Jharkhand Value Added Tax Forms , 2005
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THE JHARKHAND VALUE ADDED TAX RULES, 2005

FORM JVAT 127

Application for Enrolment

[See sub-rule 3 of Rule 45]

To,

The Registering Authority,

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

Application for Enrolment

Amendment of Certificate of Enrolment

If it is an application for amendment of certificate of enrolment, state your Enrolment Number:

Name of the Applicant :

First Name
Middle Name
Surname

Name of the transport business:

Address of the Head / Main office in Jharkhand :

Room / Flat No.

Premises No. & Street

District

Pin Code

Telephone No.

Status of the business:

Address and Telephone No. of all Branch office within Jharkhand.

First Branch:

Room/ Flat No.

Premises No. & Street

District

Pin Code

Telephone No.

Second Branch:

Room/ Flat No.

Premises No. & Street

District

Pin Code

Telephone No.

If the transporter is a Limited Co., Number of the Certificate of Registration issued by Registrar of Companies:

Details of Bank Account:

First Bank:

Name :

Branch :

Account No.

Address :

Second Bank:

Name :

Branch :

Account No.

Address :

Third Bank:

Name :

Branch :

Account No.

Address :

PAN Number of the Proprietor/ Firm/ Company under the Income Tax Act, 1961

I/We .................................................................................................... do hereby declare that the above information are true & correct to the best of my knowledge and belief.

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