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: 8. Particulars of other business(s) in which the person has interest S.No. Full address where property is situated Approximate value Extent of Share 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 ___________________
