FORM I (C)
(See sub-rule (1) of rule 12)
APPLICATION FOR REGISTRATION OF A CASUAL DEALER UNDER THE UTTARANCHAL VALUE ADDED TAX ACT, 2005.
To,
The Assessing Authority, Commercial Tax
Sector__________Circle___________
Tel.Ph.No.----------------Fax------------------e-mail--------------------------
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Registration No.(State)--------------------(C.S.T.)-------------------------------------
Tel.Ph.No.--------------Fax-------------------e-mail------------ ----------------------
5-Name and address of all other places of business including depots and branches in Uttaranchal:
6-Details of particulars of Proprietor/ Partners/ Members and Karta of Joint Hindu Family/ Trustee/ Receiver or Guardian of a minor or incapacitated person (as the case may be):
Amount Rs.------------(Registration fees ---------Late fee-----)
Name of Bank (with Branch)/ ----------------------------------
Treasury or Sub-Treasury ------------------------------------------
.
Annexure I FORM I (C)
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Declaration
I, ----------------------------------being------------------------(Status, i.e., Proprietor, Partner, Director etc .) of the business known as -----------------------------------------------------do hereby declare and verify that, to the best of my knowledge and belief, the information and particulars given above are true and complete and nothing has been willfully omitted or wrongly stated.