FORM 10
[See Rule 11 (1)]
Application for grant of registration certificate under section 16, of the Chhattisgarh Value Added Tax Act, 2005.
To,
The Commercial Tax Officer.
______________Circle
I, __________ *Proprietor/Manager/Partner/Director of the business known as ______ / officer incharge of the business of selling or supplying goods carried on by the Central Government/ *State Government of ____________ in the ___________ department hereby apply for grant of registration certificate under clause (......) of sub-section (2) of section 16 of the Chhattisgarh Value Added Tax, 2005.
2. The particulars with regard to the business and the person (s) having interest in the business aforesaid, are as under , --
Note :- Attach passport size photograph of the proprietor or each of the adult partners of the firm or each adult co-parcener of HUF as the case may be, on a separate paper duly attested by a Lawyer or a Tax Practitioner or a Gazetted Officer.
(b) Date of liability to pay tax.
(b) If the turnover is likely to exceed as aforesaid, reasons therefor.
(b) Number and date of licence under the Chhattisgarh Shops and Establishmentct if any (enclose copy).
(c) Number and date of licence under the Essential Commodities Act, if any
(b) Particulars of godowns/warehouses, if any
(enclose letters of identifications.)
I, hereby declare that the statements made and particulars given are true to the best of my knowledge and belief .
*Strike out whichever is not applicable.
ACKNOWLEDGMENT
Received an application in form 10 for grant of registration certificate under clause (-) of subsection (2) of section 16 of the Chhattisgarh Value Added Tax Act, 2005 alongwith an affidavit from Shri _____________________.