CST Form A Page 1 of 3 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 _______________________________________________________ within the State of ______________________________ hereby 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 the 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 thereof. 4. Name(s) of the 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 warehoused and address of every such warehouse. 6. List of the places of business in each of the other States together with the address of every such place (if separate application for registration has been made, or separate registration obtained under the Central Sales Tax, Act, 1956 in respect of any such place of business, particulars thereof should be given in detail). 7. The business is: wholly mainly partly partly partly 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. CST Form A Page 2 of 3 11. +Name(s) and address(es) of the proprietor of the business/partners of the business/all persons having any interest in the business together with their age, father's name, etc. S Name in Full Father's/ Age Extent of Present Permanent Signature** Signature N Husband's name interest in address address and address the of witness business attesting signature in col 8** 1 2 3 4 5 6 7 8 12. Business in the 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 (English date)# ______________ 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/half year/year. 16.1 The following goods or classes of goods are purchased by the dealer in the course of inter-State trade or commerce for:- (a) resale (b) use in the manufacture or process of goods for sale (c) use in mining (d) use in 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 1 Subs. by S.R.O. 896, dated 23rd September, 1958 (w.e.f. 1-10-1958). CST Form A Page 3 of 3 Name of the Applicant in full, ___________________________________________________ Signature ______________________________________________________________________ Status in relation to the dealer * Here enter the name of the Chamber of Commerce, Trade Association or commercial body, of which the dealer is member. + To be filled in if the applicant is not a company. *** Signature of each of the persons concerned should be obtained and attested. $ Enter here English, Bengali, Fasli, Hijra, Marwari 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.