FORM II Application for Registration Under Section 9 and 9-A/9-C of the Orissa Sales Tax Act, 1947 To The (Assistant) Sales Tax Officer ............Circle. I..........son of ............am the Manager/ Principal Officer/ Parter/Partner/Proprietor/Authorised Departmental Office of the business known as .... the particulars of which are detailed below, hereby apply for registration in respect of the said business for a certificate of registration under the Orissa Sales Tax Act, 1947. Nature of the business (enter here whether it is wholly/ mainly/partly agriculture, horticulture, mining, manufacturing, execution of works contract or import, wholesale or retail distribution, general merchandise or catering or purchase of combination of any two or more) 1 Status (enter here individual, Hindu undivided family Firm, Limited Co' Association of persons, etc; as the case may be) 2 Location of place of business 3 Address of office or any other place where notices and communications should ordinarily be despatched. 4 2. (i) The name and address of the proprietor/the names and address of the partners of the business/of all persons having any interest in the business together with particulars of father's name, etc are shown in the statement below. (to be filled in if the applicant is not a Company incorporated under the Indian Companies Act, 1956 or under any other law. Sl.No. Name 1 2 Father's Name 3 Designation (proprietor/ partner/manager/ principal Officer) Home address (permanent address) Nature and extent of interest in the business 4 5 6 Signature of the person having interest in the business 7 (ii) A copy of the deed of partnership (in case of a partnership firm) is enclosed. 3.(i) The name and address of the Chairman/ Managing Director, and Directors of the Company if the applicant is a Company under the Indian Companies Act, 1956 or under any other law. Signature of the Managing Director of the Company ii. A copy of the Memorandum and Articles of Association, certificate of incorporation are enclosed. 4. The proprietor of, any partner of, or any other person having any interest in the business has interest in no other business anywhere in India/has interest in the following other business in India :- The business in respect of which this application in made has been registered with the Registrar of Joint Stock Companies..........(Name of the State) on................ 5. The accounts of the business are kept in the ..........language and ........script. 6. The gross turnover of the business, (including that at its branches) during the period not exceeding twelve months, commencing from.......and ending on .....having exceeded Rs..........being Rs........( in words) .... the dealer becomes liable for registration under section 9 of the Orissa Scale Tax 1947 with effect from........ Or The business having commenced on.....and the gross turn over thereof including those at its branches during a period not exceeding twelve months, having not exceeded the non-taxable limit, being only Rs.........till....(date), the liability for registration of the dealer under section 9 has not ensured. This is an application of voluntary / provisional registration under section 9-A/9-C. 7. The following classes of goods are ordinarily purchased by the dealer : a. For resale b. Goods intended to be used in the manufacture or processing of goods for sale, or in mining or in generation or distribution of electricity or any other form of power. 5. (a) The dealer does / does not import goods direct from other countries / States. (b) Description of goods imported by the dealer. 6. The propiretor, partner or interested persons are members of .......(here enter the name of the Chamber of Commerce or Trade Association, etc. of which the dealer is a member.) 7. The dealer has additional places of business and warehouses (in Orissa) at the address enumerated below. 8. The principal place of business of the dealer in the State of Orissa is ....... 9. Particulars of immovable properties owned by the dealer (whether in Orissa or elsewhere in India). In case of partnership particulars in respect of all the partners should be furnished. 10. 11. Note : The attested true copes of document in support of the above particulars in respect of immovable property shall be enclosed. 12. Particulars of registration certificate, if any, under the Orissa Sales Tax Act held by the dealer or any other person associated with the business carried on by the dealer. Name of the dealer R.C. Number 1 2 1. 2. 3. 4. 5. 6. Date of issue 3 Name of the Circle under which the dealer is presently assessed. 4 Name and Address of the propreietor/ partner/ Manager/ Principal Officer/ Chairman/Managing Director Remarks 5 6 14. Particulars of registration certificate, if any, under the Central Sales Tax Act held by the dealer or any partner or any member or any director or any other person associated with the business carried on by the dealer (indicate the name of circle from which the certificate has been obtained with the number and date of issue. Name of the dealer R.C. Number Date of issue 1 2 3 1. Name and Address of the propreietor/ partner/ Manager/ Principal Officer/ Chairman/Managing Director Remarks 5 6 2. 3. 4. 5. 6. 1. Sales Taxdues, if any outstanding against the dealer, or any partner, any member or any director or any other person associated with the business caried on by the dealer. Year to which dues relates Whether under OST Act or CST Act 1 2 R.C Number 3 Amount outstanding Reasons for outstanding 4 5 Signature of the person against whom the dues are outstanding 6
