THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 1

Application for New Registration

[See sub-rule (1) of rule 5]

[Please see Instructions before filling up the Application]

01 Application for New Registration

Amendment of Certificate of Registration

02 If it is an application for New Registration, state whether

Compulsory under section 24(1) (a):

/ Voluntary under section 24(1) (b):

03 If it is an application for amendment of certificate of registration, state your

Registration Number:

04 Name of the Application:

First Name

Middle Name

Surname

05. Sex:

Male/Female

06. Father's Name/ Husband's Name:

07. Trade Name:

08. Address of the Principal place of business:

Room / Flat No.

Premises No. & Street

City/Town

District

Pin Code

Municipal / Local body

09. Occupancy Status:

10. Status of the business:

11. If partnership, number of partners:

12. Names of two contact persons:

First person

Second person

13. Status of the contact person referred to in Serial No. 12:

First person

Second person

14. Address of the two contact persons refered to in Serial No 12:

First Person:

Second Person:

15. Contact Numbers of the two contact persons referred to in Serial No 12:

First Person:

Telephone Number

Mobile Number

Fax Number

E-Mail Address

Second Person:

Telephone Number

Mobile Number

Fax Number

E-Main Address

16. Address of all Branch Offices within West Bengal:

First Branch:

First Person:

Room / flat No.

Premises No. & Street

City / Town

District

Pin Code

Municipal / Local body

17. Name of the State and Registration Numbers of the Branch Offices outside West Bengal (if any):

First Branch:

(a) Name of the State:

(b) Under The State Act :

Second Branch:

(a) Name of the State:

(b) Under The State Act :

18. Addresses and Telephone numbers of all Warehouses in West Bengal:

First Warehouse:

(i) Address:

(ii) Telephone Number

Second Warehouse:

(i) Address:

(ii) Telephone Number

19. Address and Telephone numbers of all Factories in West Bengal:

Factory 1:

(i) Address:

(ii) Telephone Number

Factory 2

(i) Address:

(ii) Telephone Number

(a)

(b)

(c)

(d)

20. Nature of Business.:

(For code no. refer to instruction sheet appended to the from)

If one of the codes=01, please specify the name of commodity/commodities manufactured

If one of the codes=12, please specify the name of commodity/commodities imported.

21. Number of Registration Certificate issed by Registrar of Companies, West Bengal:

22. Class or Classes of goods purchased or intended to be purchased for the purpose of:

a) Resale of taxable goods in West Bengal:

b) Resale of non-taxable goods in West Bengal:

c) Use as raw materials in the manufacture of taxable goods in West Bengal:

d) Use as raw materials in the manufacture of non-taxable goods in West Bengal:

e) Use in the execution of works contract in West Bengal:

23. Details of Bank Account:

First Bank:

Name

Branch

Account No.

Address

Second Bank

Name

Branch

Account No.

Address

Third Bank:

Name

Branch

Account No.

Address

24. Registration Number (if any) under the West Bengal State Tax on Professions, Trades, Callings and Employments Act, 1979:

25. PAN/TAN Number of the firm under the Income Tax Act, 1961 (if any):

26. ECC Number under the Central Excise and Tariff Act, 1985 (if any):

27. Certificate of Enlistment issued by the Municipal /Local Body:

a) Number of the Certificate:

b) Date of issue of the certificate:

c) Date of last renewal of the certificate:

28. Total amount of purchases, sales and contractual transfer price (C.T.P.) osf goods in:

(a) Last year:

Purchase

Rs.

Sales

Rs.

C.T.P.

Rs.

(b) Current year, till the month preceding the date of application

Purchase

Rs.

Sales

Rs.

C.T.P.

Rs.

29. Date of commencement of purchase, sale and works contract:

a) Date of commencement of purchase:

b) Date of commencement of sale:

c) Date of commencement of works contract:

29A. Amount of Capital on the date of filing of application:

30. *I/We have acquired liability to pay tax under the West Bengal Value Added Tax Act, 2003, for the first time from the date mentioned below:-

I, ..............................................do hereby declare that the above statements are true to the best of my knowledge and belief.

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

Date ..........................................................................

	* (Proprietor/{Partner/Karta/Managing Director/Director/ Company Secretary/Trustee/President/General Secretory / Authorised Signatory)
	Status ..............................................

_______________________________________________________________________________

*Please use separate sheet wherever space is inadequate.

Information for filling up the application for registration form.

01. Please tick whichever is applicable.

02. Please tick whichever is applicable.

03. Please write your registration number in the appropriate box.

04. Please enter the name of the applicant in the order of first name, middle name and then surname in the appropriate box.

05. Strike off whichever is not applicable.

06. Please enter the name of father or husband of the applicant in the order as prescribed in Serial no 04.

07. Please enter the name under which the business trades. If the business trades under own name, enter the same.

08. Please enter the address of the principal place of business in the appropriate box beginning with Room/Flat Number followed by Premises Number and Street, City/Town, District, Postal Index Number and name of the Municipal / Local body under the jurisdiction of which the Principal place of business is located.

09. Fill in the boxes with the appropriate code (given below) that identifies the occupancy status:

Owned- 01

Rented -02

Leased-03

Rent-free-04

Others-05

10. Please enter the two digit code that idetifies the status of the business from the selection below:

Proprietory -01	Unregistered Partnership-02	Registered Partnership -03	Hindu Undivided Family-04
Private Limited Company -05	Public Limited Company-06	Public Sector Undertaking -07	Government Company-08
Statutory Body-09	Co-operative Society-10	Government-11	Others-12

11. Write the number of partners.

12. Please write names of two contact persons starting with the first name, then middle name and surname. In case of a sole-proprietorship business, one of the contact person can be the sole-proprietor himself, and where such sole-proprietor does not have any regular employee, the name of the second contact person need not be given.

13. Status of two contact persons in relation to the business is to be stated (eg. Partner, Director, Manager etc.)

14. Pleae enter the address of two contact persons in the appropriate boxes in the format prescribed in serial no. 8.

15. Please mention the telephone number, mobile number, fax number, e-mail number of the contact persons in the appropriate boxes.

16. Please enter the address of two branch offices in the appropriate boxes. If there are more than two branches, please use a separate sheet.

17. Please enter the name of the state and the registration number of the branch offices under the respective State Act and Central Sales Tax Act, 1956. If there are more than two branches, please use a separate sheet.

18. Please enter the address and the telephone numbers of the warehouses in the appropriate box. If

there are more than two warehouses, please use a separate sheet.

19. Please enter the address and the telephone numbers of the factories in the appropriate box. If there

are more than two factories, please use a separate sheet.

20. Please enter the two-digit code in box (a) from the following list, which describes your business.

If more than one code is applicable use other boxes too.

Manufacturer-01	Distributor-02	Agency-03	Wholesaler-04
Retailer-05	Auctioneer-06	Works contractor-07	Transferor of right to use goods-08
Hire Purchaser-09	Hotelier-10	Club-11	Importer-12
Exporter-13	Others-14

21. Please write the number in the appropriate box.

22. (a) In case you are a reseller of taxable goods, please enter the names of the major taxable commodities in which you deal.

(b) In case you are a reseller of non-taxable goods, please enter the names of the major non-taxable commodities in which you deal.

(c) In case you are a manufacturer of taxable goods, please enter the names of the raw materials required for manufacturing of such goods.

(d) In case you are a manufacturer of non-taxable goods, please enter the names of the raw materials required for manufacturing of such goods.

(e) In case you are a works contractor, please enter the names of the commodities used in the executions of works contract.

23. Please enter the name, branch, account number and address of the banks where the accounts are maintained. If you have more than three branches please use a separate sheet.

24. to 26. Please enter the number in the appropriate box.

28. Please write the Certificate of Enlistment number, date of issue of such certificate and last renewal of the certificate. For example, if the date of issue is 1 ^st June, 2004, please write 01 against DD, 06 against MM and 2004 against YYYY.

29. Please state the purchase amount, the sales amount and the amount representing contractual transfer of goods against appropriate column.

30. Please write the dates as per procedure prescribed in serial no. 27 above.

30. Please also refer to the information given in the website of the Directorate of Commercial Taxes, West Bengal, www.wbcomtax.gov.in.

THE WEST BENGAL VALUE ADDED TAX RULES, 2005

ANNEXURE-A

[See sub-rule (3) of rule 5]

Annexure to Application in Form 1 for Registration to be filled in by the Proprietor/Partners/Karta, as the case may be, of the business for *Propritorship/ Partnership/HUF Business/

[Please use separate sheet for each Person.]

Affix a duly attested passport size photograph

01. Name of the person:

First Name

Middle Name

Surname

02. Date of Birth:

03. *Fathers's /Husband's name:

04. Extent of interest in the business.**

05. How long associated with the business:

Years

Months

06. Other business interest in the state (Please specify):

07. Other business interest outside the state (Please specify):

08. Present Residential Address:

09. Permanent Residential Address:

10. Contact numbers :

Telephone Number

Mobile Number

Fax Number

E-Mail Address

11. Income Tax Pan No.:

12. Details of Personal Bank Account***:

Name

Branch

Account No

Address:

Account held:

Solely

/ Jointly

13. Details of personal immovable assests:

14. Specimen signature:

*Proprietor/Partner/Karta

15. Signature of the witness attesting the specimen signatue at serial number 14 above:

First Witness:

Signature

Name

Address

Seal:

Second Witness:

Signature:

Name

Address:

Seal:

Signature of the Applicant in Form 1

__________________________

Status of the Applicant

* Strike off whichever is not applicable.

** Extent of interest in the business -Share in the profit of the business.

*** If there is more than one Bank Account use a separate sheet.

Note: Witness can be any Government Officer who is empowered to attest any document or any Advocate or any person as defined in subclause (iv) of clause (a) of sub-rule (1) of rule (2).

THE WEST BENGAL VALUE ADDED TAX RULES, 2005

ANNEXURE -B

[See sub-rule(4) of rule 5]

Annexure to Application in Form 1 for Registration to be filled in by the * Managing Director/ Director/ Secretary of a Private Limited Company or a Public Limited Company or Trustee of a trust.

[Please use separate sheet for each Person.]

Affix a duly attested passport size photograph

01. Name of the *Managing Director/Director/Secretary /Trustee:

First Name

Middle Name

Surname

02. Date of Birth:

03. Official Designation

04. How long associated with the business

Years

Months

05. Present Residential Address:

06. Permanent Residential Address:

10. Contact numbers :

Telephone Number

Mobile Number

Fax Number

E-Mail Address

08. Income Tax Pan No.:

09. Specimen Signature of the

*Managing Director/Director/Secretary/Trustee

10. Signature of the witness attesting the specimen signature at serial number 09. Above:

First Witness:

Signature:

Name

Address:

Seal:

Second Witness:

Signature:

Name

Address:

Seal:

_____________________________

Signature of the Applicant in Form 1

_____________________________

Status of the Applicant

Note: Witness can be any Government Officer who is empowered to attest any document or any Advocate or any person as defined in sub-clause (iv) of clause (a) of sub-rule (1) of rule 2.

* Strike off whichever is not applicable.