GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT Form JVAT 103 [See Rule 4(i) and 4(iii)] Application for the grant of Registration as Registered Retailers for payment of Presumptive Tax / Composition Tax U/s 22 / 58 of the Jharkhand VAT Act, 2005 (The Dealer shall not be entitled to issue Tax Invoices) To The Registering Authority, ........ Circle/Sub-Circle. I/We ............. Proprietor/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 Jharkhand Value Added Tax Act, 2005, for which a registration fee of Rs. 50.00 has been paid application : on....... vide Ch No.. date....../ by affixing court fee stamp worth Rs.50.00 on this 1. Name and style of the business : 2. Permanent Account number of the Dealer(s)/Business(PAN) 3. Constitution of the business ( ) whichever is applicable Proprietorship Public Limited Company Association of Persons Partnership HUF Club Private Limited Company Co-Operative Society Others 4. Nature of Business ( ) whichever is applicable Works Contractor Distributor Stone Crushing Unit Retail Trade Stockiest Old & Used Motor Vehicles Restaurant/Eating House Brick Kiln Owner Others Caterer 5. (a) Principal Commodities in which the business deals in and (b) The items codes therein 6. Basis of incurring liability to pay (a) Sale exceeding the specified quantum u/s 8(5) of the Act (b) Voluntary registration tax ( ) whichever is applicable. (c) Other Provisions 7. Date of liability D D - M M - Y Y Y Y - - 9. Details of immovable properties owned wholly or partly by the business. 10. Script in which account books are maintained. Serial. No. Description of property Address where property is Situated Approximate value Share Percentage Name_____________ Status_____________ Name_____________ Status_____________ Name_____________ Status_____________ 11. State: whether your accounts are computerized: Yes / No (please tick) 12. State: whether you were registered under the Repealed Act or CST Act Yes / No (please tick) If Yes: Please specify your Regn. Nos. 13. The names, addresses and other details of the Proprietor, each of the Partner, Karta of HUF and each Director (in case of Private limited Company) are attached as per Annexure - I. 14. A copy of the Partnership deed /Memorandum of Articles of Association is enclosed. 15. The details of security furnished are attached as per Annexure-II. 16. Passport size (self signed) photographs of the proprietor, each of the partner, Karta of HUF and each director (in case of private limited company) are pasted below. Name_____________ Name_____________ Name_____________ Status_____________ Status_____________ Status_____________ VERIFICATION 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. Signature .......... Place : Status............. Date: Full Name ............. DECLARATION (vii) I/We hereby undertake to abide by the provisions of the Jharkhand Value Added Tax Act, 2005 and the Jharkhand Value Added Tax Rules, 2006. (viii) A signboard in the name of my/our business has already been displayed at all the business premises. (ix) That the books of accounts in respect of the said business are being maintained and shall be found at the said business premises. Place...... Signature Status............. Date Full Name ............. (Signature of other partners in case of partnership business) (1) Place.... Signature..... (2) Place.... Signature...... Full Name ...... Full Name ...... Date.... Status........ Date..... Status.......... (3) Place.... Signature..... (4) Place.... Signature...... Full Name ...... Full Name ...... Date..... Status............ Date..... Status.......... (For office use only) Acknowledgement receipt No. ...... Date ......... Circle ..... Signature and Stamp of section clerk
