FORM-2
[See Rule 13(1)]
APPLICATION FOR REGISTRATION
To
The Prescribed Authority,
.............................................
I ...................................................... son of ............................................. on behalf of the dealer carrying on business whose particulars are given below, hereby apply for registration under Section ................ of the Assam Value Added Tax Act, 2003.
01. Name and style of the business.
02. Full address of place of business.
03. Status of business (Put tick mark where applicable).
*(To be specified if not covered by any of the given descriptions).
04. Nature of principle business activities (Put tick mark where applicable).
06. Occupancy status (Put tick mark where applicable).
07. Name and address of the Proprietor/Managing Partner/Karta/Managing Director as per Annexure-I. of the business
08. Additional places of business/warehouse/godown inside the State (As per Annexure-II).
09. Complete list of Godown (As per Annexure-II).
10. Complete address of the Head Office, if situated outside Assam (As per Annexure-II).
11. Full address of manufacturing or processing units, if any (As per Annexure-II).
14. Date of commencement of production of Manufactured/processed goods.
23. Details of immovable properties owned wholly or partly by the business.
24. The language in which the accounts are maintained:
25. The accounting year followed by the dealer:
26. Complete address of the place where books of accounts are kept:
27. Do you use a computer for accounting?.................(Yes/No)
DECLARATION
(i) I/We do hereby undertake to pay the tax and file the return in the prescribed form in accordance with the provisions of the Assam Value Added Tax Rule, 2005 pertaining to the entire business conducted at my/our various places of business in accordance with the provisions of the Act and the rules made thereunder.
(ii) That a sign board in the name of my/our business has already been displayed at all the said business premises.
(iii) That the books of accounts in respect of the said business are being maintained and shall be found at the said business premises.
I/We ............................................ do hereby solemnly affirm and declare that above provided information is true and correct to the best of my/our knowledge and belief and that the undertaking given by me/ us shall be maintained by me/us so long as the registration of the said business under the Assam Value Added Tax Act, 2003, remains in force or till the liability under that Act is discharged.
attesting signature (1)......................................(2)..........................................
Enclosures to be annexed to the application for registration, wherever applicable.
1. Rent agreement.
2. Deed of Partnership (copy).
3. Article of Association and Memorandum.
4. Municipal Trade Licence (copy).
5. PAN (copy).
6. Bank account (zerox copy of pass book/ cheque book).
.
Annexure-I
(To be attached with Form-2)
INFORMATION ABOUT PROPRIETOR, EACH PARTNER (IN CASE OF PARTNERSHIP BUSINESS)/DIRECTOR (IN CASE OF SEPARATELY AND KARTA OF HUF.
1. Full Name in capitals :
2. Fathers Name in capitals :
3. Status :
4. Extent of interest in business :
5. Permanent address :
6. Residential address :
7. Details of all immovable properties owned :
8. Particulars of other business(es) in which the person has interest.
9. Photo(s) with Name(s) and Signature(s) of each Proprietor/Partner/Person having an
interest in the business.
VERIFICATION
The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein.
Place :
Date :
Signature of the person concerned.
Annexure-II
1. Details of additional places of business (for each place).
2. Details of godown/warehouse (for each place).
3. Complete address of the head office, if situated outside Assam.
4. Full address of manufacturing/processing units, if any.
The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therein. I further declare that I shall inform the Department whenever there is a change in the information provided in this annexure.
FOR OFFICE USE ONLY