The West Bengal Sales Tax - Forms
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FORM 1A

Application for certificate of enrolment/amendment of certificate of enrolment

[See rule 12A(1), 12A(4)]

To,

The ......................................................

(Appropriate enrolling authority)

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

I, ........................................................, being the proprietor/one of the partners of the firm/Karta of the Hindu Undivided Family/Managing Director/Director/Principal Officer of the company/President/Secretary of the society, operating a transport business under the trade name of ............................., apply in respect of the said transport business for a certificate of enrolment/amendment of the certificate of enrolment under the West Bengal Sales Tax Act, 1994.

I furnish hereunder the requisite particulars :

1. Name, father's name, ages and present and permanent residential address of the proprietor/all partners/Karta having interest in the transport business:

Sl. No.	Name	Father's name	Age	Present residential address	Permanent residential address	Signature of the person(s) named in column 2	Signature with official seal and sales tax registration certificate No. of the dealer attesting the signature in column 7
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)
1
2
3
4
5
6
7
etc.

2.	Number and date of the latest certificate of enrolment issued by municipal corporation/ municipality/local authority	:
3.	Income Tax Account No.	:
4.	Under the West Bengal State Tax on Professions, Trades, Callings and Entertainment Act, 1979,-	:
	(a) enrolment No.
	(b) registration No.
5.	Sales Tax Registration No., if any, under -
	(a) the West Bengal Sales Tax Act, 1994	:
	(b) the Central Sales Tax Act, 1956	:
6.	Address of the chief branch or head office of the transport business in West Bengal	:
7.	Address (es) of additional place of transport business in West Bengal	:
	(Attach a separate sheet, if necessary)
8.	Address (es) of warehouse or godown in West Bengal	:
	(Attach a separate sheet, if necessary)

I solemnly declare that the particulars and information given above are true to the best of my knowledge and belief.

	Signature ..................................
Date : ................................	Status .................................

Note : Strike out whichever is not applicable.