FORM VAT-1 Registration

I/We . Proprietor/Manager (duly authorised)/ Partner(s)/Karta of HUF/Principal Officer managing the business/affairs of the Company/Society/Association of persons/Club/Head of the Department or any other officer duly authorised by him in writing, of the business, details of which are given below, hereby apply on behalf of the said business for grant of a certificate of registration under the Himachal Pradesh Value Added Tax Act, 2005

1. Name of Business

2. Principal place of the business and contact address

3. Permanent Account number of the business (PAN) under the Income Tax Act, 1961.*

4. Constitution Of The Business*

5. Nature Of business*

6. Principal Commodities in which business is done*

7. EAC (Economic Activity Code) (As per Schedule-I appended to the rules)

8. Basis of incurring liability to pay tax*

9. Date Of Liability

12. Script in Which Account Book are maintained*

13. The names, addresses and other details of the proprietor, each of the partner or member, Karta of Hindu Undivided Family and each director (in case of private limited company) are attached as per Annexure-I.

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14. Attested copy of the partnership deed /Memorandum of Association and Articles of Association/ other agreement/ document---------- is/ are enclosed.

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15. The details of additional place(s) of business are attached as per Annexure-II

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16. The list of goods required to be purchased for use in manufacture, telecommunication network, generation or distribution of electric energy or other power captive use or packing of goods and use as capital goods is attached as per Annexure-III.

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17. The details of security furnished are attached as per Annexure-IV

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18. Passport size (self-signed) photographs of the proprietor, each of the partner, Karta of Hindu Undivided Family and each director (in case of private limited company) ect. are pasted below*

and one such photograph (self-signed) of each of the concerned attached.

VERIFICIATION

I/We do hereby solemnly affirm and declare that the information contained in this application, including Annexures attached herewith, is true and correct to the best of my/our knowledge and belief.

DECLARATION

Annexure-I

To be attached with form VAT-1

Information about Proprietor, Manager (duly authorised), each Partner (in case of partnership business)/Director (in case of Private Company) separately, Karta of Hindu Undivided Family.

General Information

Permanent Address

Present Address

Annexure-II

(To be attached with form VAT-1)

VERIFICATION

The above details are true and complete to the best of my knowledge and belief and nothing has been concealed therefrom. I further declare that I shall inform the appropriate Assessing Authority whenever there is a change in the information provided in this Annexure.

VERIFICATION

The above details are true and complete to the best of my knowledge and belief and nothing as been concealed therefrom. I further declare that I shall inform the appropriate Assessing Authority whenever there is a change in the information provided in this Annexure.

(To be attached with form VAT-I)

Details of Stock of goods (other than capital goods) as on 31.03.2005

1. Total value of the stock as on 31.03.2005: Rs.(INR)
2. Value of goods out of (1) above which are lying in the form in which these were purchased: Rs. (INR)
3. Value of manufactured goods including goods in Rs. (INR) process(in case of a manufacturing concern):
4. Break-up of value of goods at (2) above:
   
   Value of stock of goods as on 31.03.2005 (in Rs.[INR]):

   Rate of tax

   Value of goods (INR)

   Tax element in value (INR)

   Tax free goods

   Taxable goods (purchased without payment of tax)

   Value of goods purchased from outside the State (INR)

   Total(INR)
5. Break up of value of goods used in the manufacture of goods at (3) above:
   
   Total Value (in Rs.[INR]):

   Value of goods purchased within the State (in Rs.[INR]):

   Rate of tax

   Value of goods (INR)

   Tax element in value (INR)

   Tax free goods

   Taxable goods. (purchased without payment of tax)

   Value of goods purchased from outside the State (INR)

VERIFICATION

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