KARNATAKA TAX ON PROFESSIONS, TRADES, CALLINGS AND EMPLOYMENTS RULES, 1976 - FORMS
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Body

FORM 1

[See Rule 3(1)]

Application No. . . . . . . . . . . . . . . . .

Under the Karnataka Tax on Professions, Trades,

Callings and Employments Act, 1976.

I hereby apply for a Certificate of Registration under the above mentioned Act as per particulars given below:-

Name of the Applicant

(i) Nature of the profession, trade, etc.:

(ii) Date of commencement of profession, trade, etc.:

(iii) Full postal address and telephone Nos. of the main place of work:

(iv)Full postal address and telephone Nos. of any additional place/s of work:

Class of employer:- Individual-1, Partner-2, Firm-3, Company-4, Corporation-5, Society-6, Club and Association-7, Others specify-8

Status of person signing this Form:-

Proprietor-1, Partner-2, Principal Officer-3, Agent-4, Manager-5, Director-6, Secretary-7, Others specify-8

The above statements are true to the best of my knowledge and belief.

Date:

Signature with Status

Registration No.
	Signature of the Issuing Officer
Date of Issue. . . . . . . . . .

ACKNOWLEDGMENT

(Particulars of name and address to be filed in by applicant)

Received an application for Registration in Form-1

From	Application No. . . . . . . . . . . . . . . .
Name
Address
Date:	Signature of the Receiving Officer.