The West Bengal Sales Tax - Forms
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FORM A

[See Rules 5(2)]

(Annewure to Application for registration to be filed in by the Proprietor / Partners / Karta , as the case maybe, of the business for Proprietorship / Partnership / HUF Business)

[Please use separate sheet for each partner]

Affix a duly attested black & white passport size photograph

1.	Name of the person
2.	Father's name
3.	Date of birth
4.	Educational qualification
5.	Extent of interest in the business
6.	How long associated with the business
7.	Occupation before coming to this business
8.	Other business interest in the State (Pl. specify)
9.	Other business interest outside the State (Pl. specify)
10.	Present residential address
11.	Permanent residential address
12.	Electoral details (if available) Assembly Constituency, Part No., Serial No.		Yes / No. (Pl. tick)
		Copy of the Voter's Identity Card enclosed
13.	Contact Number Telephone No. Fax No. E-mail address
14.	Income-tax PAN No.

15. Details of Personal Bank Account

Name of the Bank

Branch & Address

A/c held solely or jointly

Account No.

16. Specimen signature

17.	The specimen signature to be attested by two witness registered under the W.B.ST. Act, 1994	First Witness	Second Witness
Name
R.C. No.
Signature

Signature . . . . . . . . . .

Status . . . . . . . . . . .