Form A (See Rule 3) Application for Registration under Section 7(1) /7(2) of the Central Sales Tax Act, 1956 To *I.............. Son of .............. On behalf of the dealer carrying on the business known as............... With in the State of ..............here by apply for a certificate of registration under Section 7(1) / 7(2) of the Central Sales Tax Act, 1956, and give the following particulars for this purpose : 1. Name of the person deemed to be the Manager in relation to the business of the dealer in the said State. : 2. Status or relationship of person who makes this application (e.g, manager, partner, proprietor, director, officer-in -charge of the Government business) : 3. Name of the principal place of business in the said state and address there of : 4. Name (s) of other place (s) in the said state in which business is carried on and address of every such place: 5. Complete list of the warehouses in the said State in which the goods relating to the business are warehouses and address of every such warehouses : 6. List of the places of business in each of the other States together with the address of every such place (if seprate application for registration has been made, or seprate registration obtained under the Sales Tax Act, 1956,in respect of any such place of business, particulars thereof should be given in details) : 7. The business is :- Wholly mainly partly partly partly Here enter the authority specified in the general or special order issued by the Central Government under Section 7(1) of the Act. Here enter the name and style under which the business is carried on. Here enter the name of the State in which the application for registration is made. Enter here whether business is wholly agriculture, horticulture, mining manufacturing, wholesale distribution, retail distribution, contracting or catering etc., or any combination of two or/more of them. 8 .Particulars Relating to registration, licence, : permission etc., issued under any law for the time being in force of the dealer. 9. We are member of ............... 10. We keep our accounts in ...............language and script . 11. ** Name (s) and address (es) of the proprietor of the business /partner of the business/all person having any interest in the business together within their age, father'sname, etc. 12. Buisness in respect of which this application is made, was first started, on............... 13. The first sale in the course of inter-state trade was effected on............... 14. We observe the ........... calendar and for purposes of accounts our year runs from the (Englishdate).......... day of ............... (Indian date) ...............day of ............... to the (English date/Indian date) ............... day of 15. We make up our accounts of sales to date at the end of every month/quarter/halfyear/year. 16. The following goods or classes of goods are purchased by the dealer in the course of interstate trade or commerce for - (a) resale............... (b) use in the manufacture or processing of goods for sale............... (c) use in mining............... Here enter the name of the Chamber of Commerce Trade Association or Commercial body, of which the dealer is a member. To be filled in if the applicant is not a company incorporated under the Companies Act, 1956(1 of 1956) or under any other law Signature of each of the persons concerned should be obtained and attested. Enter here English,Bengali,Fasli,Hijra,Marwarj or other calendar followed. In filling up these entries dealers who do not observe the English calendar should give the dates according to their own calendar and the corresponding date of the English Calendar Strike out portion or paragraph whichever is not applicable. Here name the goods or classes of goods against each category (d) use the generation or distribution of electricity or any other form of power (e) use in the packing of goods for sale/resale 17. We manufacture, process or extract in mining the following classes of goods or generate or distribute the following form of power, namely :............... 18. The above statements are true to the best of my knowledge and belief. Name of the Applicant in full............... Sll.No. Name in full Fathers's/Husband's name Age Extent of interest in the business Present address Permanent address Signature Signature and address of witness attesting Signature in col.8 1 2 3 4 5 6 7 8 9 Signature............... Date............... 1. Substituted for orginal items by Notification No.GSR 896 dated 23-09-1958 (See Gazette of India Extraordinary Part II SectionS,Sub section(i) dated 1st October 1958. (w.e.f. 1-10-1958) 2. Inserted by Notification No.GSR. 896 dated 23-09-1958 (See Gazette of India Extraordinary Part II, Section 3, Subsection (f) dated 1st October, 1958 (w.e.f. 110-1958)
