Form A-IA
Application for registration under Secton 19(3) of the Bihar Value Added Tax Act, 2005 [See rule3] Office of the of Commercial Taxes Circle.
To,
The
Circle.
I, name), son of name) hereby apply for the grant of a registration certificate under Section 19, of Bihar Value Added Tax Act, 2005 and furnish following particular for that purpose -
1. Name of the business -
2. Address -
(a) House No./Shop No.-
(b) Road/Street Name/Locality/Market-
(c) Block-
(d) District-
(e) PIN Code-
3. Date of birth of the Applicant-
4. PAN/Driving License No.-
5. Bank details:
(a) Bank Name-
(b) Branch-
(c) Account No.-
(d) Account type-
6. Commodity dealt in-
VERIFICATION
I do hereby declare that the particulars furnished in the application are correct and complete to the best of my knowledge and belief.