The Jammu and Kashmir Value Added Tax Form, 2005.
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Form VAT-01(A)

(See rule 12 (k))

(To be attached with Form VAT-01)

Information about Proprietor, each partner (in case of partnership) Director ( in case of Private Company) separately and Karta of HUF.

1.	Name	________________________________
2.	Father's Name	________________________________
3.	Status	________________________________
4.	Extent of interest in business	________________________________
5.	Permanent Address	------------------------------------------------
		------------------------------------------------
		------------------------------------------------

6.	Present Address	------------------------------------------------

7. Details of all immovable properties owned:

S.No.	Full address where property is situated	Approximate value	Extent of Share

8. Particulars of other business(s) in which the person has interest

S.No.	Name of business	Address	Extent of Share

Verification

The above details are true and correct to the best of my knowledge and belief and nothing has been concealed therein.

Place ____________________	Signature of the person concerned
Date ___________________