[See Rule 12(2)(a)]
Registration Certificate counterfoil
Registration Certificate
2. Name of the business ________
3. Name of the applicant __________
4. Status of the applicant in the business____________________
(whether proprietor, partner,Manager/Director)
5. Full address of the principal place of business in Chhattisgarh _____________
6. Nature of business_________
* (i) Trading mainly in _____________
*(ii) Manufacturing mainly __________
*(iii) Mining of ____________________
7. Names and addresses of the additional places of business in Chhattisgarh
1. This is to certify that ______________
(Name of the business)
(Name of the applicant _______________ with his status in the business, that is whether proprietor /Partner/ Manager/ Director) whose only place of business/principal place of business situated at ________________ (address) is registered under Chhattisgarh Value Added Tax Act, 2005.
2. The nature of business is :-
*(i) Trading mainly in _________________
*(ii) Manufacturing mainly _______________
*(iii) Mining of _________________________
The business has additional places of business at,-
2. __________________________
3. __________________________
4. __________________________