Form XVIII (See Sub-rule (1) of rule 25 - A) Application for Recognition Certificate under sub-section (2) of section 4-B of the U. P. Trade Act, 1948 To, The Trade Tax Officer, Circle .......... I, ...........son/daughter/Wife of .................... on behalf of the dealer carrying on the business known as .............., the State of Uttar Pradesh hereby apply for a certificate of recognition under sub-section (2) of Section 4-B of the U.P. Trade Tax Act, 1948 and furnish the following particulars for the purpose: 1. Status or relationship with the dealer of the person making the application (e.g. Manager, Partner, Proprietor, Director, Office in Charge of the Government business etc.) 2. Name and Full Address of the Principal place in the State of Uttar Pradesh 3. Name(s) & Full Address(s) of the principal places of business in U.P. 4. Particular of Registration Certificate issued under the U. P. Trade Tax & Central Trade tax 5. Particulars of the Proprietor(s), all persons having any interest in the business 6. Description of notified goods in respect of which Recognition Certificate is sought 7. The date on which the manufacture of the notified goods was started. 8. Name(s) or goods or classes of goods required for use as raw material for manufacture of the notified goods mentioned in Column 6Certified that the above particulars are true to the best of my knowledge and belief. Name of the Applicant in Full _____________________ Signature_____________________ Status in relation to dealer_____________________ Witness (Name) _____________________ Parentage_____________________ Full Address_____________________ Date Note: Attestation of the Signature of the applicant to be made by the lawyer or by a person known to the Trade Tax Officer.
