DEMO|
Skip Navigation Links
Rules
|
Form
|
Notifications
|

The Orissa Value Added Tax Rules, 2005 FORMS
-

Body

FORM VAT-101

APPLICATION FOR REGISTRATION

[See sub rule (1) and sub rule (2) of rule 15]

Please read the following before filling up the form

Use Capital Letters.

Mention the Registering authority to whom the application is submitted.

To

The Registering Authority,

CIRCLE  
RANGE  

I .............................................................son/daughter/wife of .....................................the Proprietor / Partner / Karta of HUF / (Managing) Director / Authorized officer / Authorised Departmental officer of the business, the particulars of which are detailed below, hereby apply on behalf of that business for grant of a certificate of registration under the Orissa value Added Tax Act, 2004.

01. Name of the Business:

02. Address of the Principal place or Place of business:

(Principal place of Business. If there is more than one place of business)

Village/Holding No:    
Locality/ Ward No:    
Town/City    
P.O. (Pin)    
Phone: FAX No. E-Mail:

03. Occupancy status of place of business (Score out whichever is not applicable) Owned/ Rented/ Leased / Free Of Rent / Others (specify) ________

04. Status of the business (Mark whichever is applicable)
  • Proprietorship
  • Partnership
  • Public Ltd. Company
  • Private Ltd. Company
  • Cooperative Society
  • Association of persons
  • Hindu undivided family
  • Public sector undertaking
  • Department of Government
  • Others (specify)______

    • 05. Nature of business activities:

    (Mark whichever is applicable)

    • Trading
    • Manufacturing
    • Mining
    • Generation & Distribution of Electricity
    • Leasing
    • Execution of works contract
    • Restaurateur
    • Agriculture & Forestry
    • Services

    06. Description Commodities purchased or received otherwise than by way of purchases for resale/sale.

    1 5
    2 6 
    3 7 
    4 8 

    07. Are you manufacturing goods for sale? (Score out whichever is not applicable) If answer is Yes, furnish the following details.
    Yes No

    08. Description of goods purchased / Received otherwise for use as:

    		Capital goods.

    1.

    2.

    3.

    Raw Materials.

    1.

    2.

    3.

    Consumables.

    1.

    2.

    3.

    Fuel.

    1.

    2.

    Packing Material

    1.

    2.

    09. Description of goods manufactured for sale including bye-products.

    Finished products. Taxable

    1

    2

    		Tax Free

    1

    2

    Bye-products 1

    2

    		1

    2

     

    10. Are you engaged in mining?

    If your answer is "Yes", furnish the following details.

    Yes No

     

    11. Description of goods purchased for use in operation of mining.
    Capital goods Others (specify)
    1.

    2.

    3.

    4.

    		1.

    2.

    3.

    4.

     

    12. Are you a works contractor?

    If your answer is "Yes", furnish the following details.

    Yes No

     

    13. Nature of works contract executed.

    (Mark whichever is applicable)

    • Civil
    • Electrical
    • Fabrication / erection
    • Structural

  • Air-conditioning
  • Others_____________
      (Specify)

    • 14. Description of goods purchased for Use in the execution of works. 1.

    2.

    3.

    4.

    		5.

    6.

    7.

    8.

    15. Date of commencement of business
    D D   M M   Y Y Y Y
          -     -         
     
     

    16. Details of purchases or sales from the date of commencement of business to the date of application. - monthwise. (part of the month to be shown separately)
    Month Purchase Sales
      Rs. P. Rs. P.
         
         
         
    Total    
     

    17. Date of commencement of liability to be registered under the Orissa Value Added Tax Act, 2004.
    D D   M M   Y Y Y Y
          -     -         
     

    18. Are you applying for voluntary registration?

    If your answer is "Yes", furnish the following details.

    Yes No

     

    19. Description of goods intended to be Manufactured for sale. 1.

    2.

    3.

    20. Description of goods intended to be purchased for manufacturing of goods for sale.
    Capital goods.

    1.

    2.

    		Fuel

    1.

    2.

    Raw Materials

    1.

    2.

    		Other

    1.

    2.

    Consumables

    1.

    2.

    		Packaging Material

    1.

    2.

     

    21. The anticipated date of commencement of commercial production.
    D D   M M   Y Y Y Y
          -     -         
     

    22. Details of Bank Account
    Name of the Bank Branch & Code Account No Nature of Account
           
           
           
           
     

    23. Income Tax PAN

    (Permanent Account Number)

                       
     

    24. Language in which Books of Account are maintained.  

    25. Are your accounts maintained electronically?

    (score out whichever is not applicable)

    Yes No
     

    26. Particulars of registration certificate issued by the Registrar of Companies/ Registrar of Cooperative Societies / Superintendent Excise or any other Registering authority in India including the Director of Industries.  

    27. Are you a member of any chamber of Commerce or Trade Organisation?

    (Score out whichever is not applicable)

    If your answer is "Yes", furnish the following details.

    Yes No

    28. The name of the Chamber or Trade organization and particulars, if any in support of such membership.  

    29. Address of additional place(s) of business/ branch / godown - both inside and outside the state.
    Use Form VAT - 101 - A / B

     

    30. Declaration of proprietor, each partner / Director, Authorised officer / person and Principal officer of the business.
    Use Form VAT - 101 -C

    31.The name and address of the Manager or

    employee of the business or any other person

    associated with the business.

    Use Form VAT - 101 -D

    31. Details of immovable property owned wholly or partly by the business.
    Description of property Address, where situated Approx. Value Share percentage
           
     
      VERIFICATION

    I ________________________________ son/daughter/wife of ___________________ status ________ of the aforesaid business do hereby solemnly affirm that the particulars given in this form are true and correct to the best of my knowledge and belief. I undertake to notify immediately to the Registering authority to whom the application has been made any change in any of the above particulars.

    Signature.

    (Designation with relation to the business)

    Seal
    D D   M M   Y Y Y Y
          -     -         

     

    Enclosures to be annexed to the application for registration.

    1. Rent agreement.

    2. Deed of Partnership (copy)

    3. Article of Association & Memorandum.

    4. Authorization, if any, in original.

    5. Declarations.

    6. Voter Identify Card (copy)

    7. PAN (copy)

    8. Any other document

    9.

    10

    11