The West Bengal Sales Tax - Forms
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FORM B

[See rule 5(3)]

[Annexure to Application for registration to be submitted by a Private Limited Company or Public Limited Company carrying information on the Directors and Principal Officers)

[Please use separate sheet for each Officer]

Affix a duly attested black & white passport size photograph

1.	Name of the director / principal officer
2.	Dte of birth
3.	Educational qualification
4.	Official designation
5.	Date of joining in the present capacity
6.	Present residential address
7.	Permanent residential address
8.	Number of communication
	a) Telephone Number
	b) Fax Number
	c) E-mail address
9.	Income-tax Permanent Account No. (PAN)
10.	Specimen Signature

Signature . . . . . . . . . . . . . . . .

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