THE KERALA VALUE ADDED TAX RULES, 2005 - Forms
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COMMERCIAL TAXES DEPARTMENT

GOVERNMENT OF KERALA

CERTIFICATE OF REGISTRATION

FORM No.1A

See Rule 17(14) of KERALA VALUE ADDED TAX RULES, 2005

(Not Transferable)

This is to certify that M/s / Sri. / Smt. ___________________________________ (Trade Name________________________ ) is registered with Commercial Taxes Department, Government of Kerala under Section 16 of the Kerala Value Added Tax Act, 2003.

1. VAT Registration number TIN / PIN : ………………………..

2. CST Registration number :

3. Assessment Circle :

4. Registration Category :

5. Name of the Applicant :

6. Principal Place of Business :

7. Number of Branches if any:

8. Number of Godowns if any:

9. This certificate is valid from …………….(date) to 31st March ……….. or until cancelled / suspended / surrendered.

10. Commodities dealt with.

Place: ___________________	Signature of the Assessing Authority
Date:___________________	Name, Designation and Office

(Seal)

Note: Details of branches and godowns, if any, are annexed.