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Department of Trade and Taxes Government of NCT of Delhi Form DVAT 04 – Cover Page [See Rule 12] Application for Registration under Delhi Value Added Tax Act, 2004 Checklist of Supporting Documents Please tick as applicable Mandatory Supporting Documents Parts A, B, C & D of the Form duly filled in (in case any of the parts is not applicable, please mark accordingly) Proof of incorporation of the applicant dealer i.e. Copy of deed of constitution (partnership deed (if any), certificate of registration under the Societies Act, Trust deed, Memorandum and Articles of Association etc) duly certified by the authorised signatory Proof of identity of authorised signatory signing the Registration Application Form Two self addressed envelopes (Without stamps) In case of a dealer applying for registration and simultaneously opting for payment of tax under composition scheme, please attach application in Form DVAT 01 along with this application
Transcript
Page 1: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Department of Trade and Taxes

Government of NCT of Delhi

Form DVAT 04 – Cover Page

[See Rule 12]

Application for Registration under Delhi Value Added Tax Act, 2004

Checklist of Supporting Documents

Please tick as applicable

Mandatory Supporting Documents

Parts A, B, C & D of the Form duly filled in (in case any of the parts is not applicable, please mark accordingly)

Proof of incorporation of the applicant dealer i.e. Copy of deed of constitution (partnership deed (if any), certificate of registration under the Societies Act, Trust deed, Memorandum and Articles of Association etc) duly certified by the authorised signatory

Proof of identity of authorised signatory signing the Registration Application Form Two self addressed envelopes (Without stamps)

In case of a dealer applying for registration and simultaneously opting for payment of tax under composition scheme, please attach application in Form DVAT 01 along with this application

Proof of Security along with duly filled Form DVAT-12

Optional Supporting Documents (For reduction in Security Amount)

Page 2: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Proof of ownership of principal place of business

Proof of ownership of residential property by proprietor/ managing partner Copy of passport of proprietor/ managing partner

Copy of Permanent Account Number in the name of the business allotted by the Income Tax Department

Copy of last electricity bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form)

Copy of last telephone bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form)

Reasons for Rejection (For Office Use Only)

Please tick as applicable

Not attached Mandatory Supporting Document(s)_______________________________

Other __________________________________________________________________

Page 3: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 4: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 5: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 6: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Department of Trade and Taxes

Government of NCT of Delhi

Form DVAT 04

[See Rule 12]

PART - A

Application for Registration under Delhi Value Added Tax Act, 2004

1. Full Name of Applicant Dealer

2. Nature of

Manufac- Trader Leasing

Works

Exporter Importer

Others

Business

turer

Contractor

Page 7: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(specify)

(Tick all

Page 8: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

_______

applicable)

Page 9: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 10: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

3.

Constitution of

Proprietorship

Private Ltd.

Public Sector

Business

Page 11: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Company

Undertaking

(Tick one as

Partnership

Government

Government

Page 12: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

applicable)

Company

Corporation

HUF

Public Ltd. Company

Govt Deptt/ Society/

Page 13: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Club/ Trust

Others, please specify

Page 14: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 15: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 16: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

4.

Type of Registration

Tick one

Mandatory

Voluntary

Page 17: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 18: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

5.

Opting for composition scheme under section 16 of the Act?

Tick one

Yes

No

Page 19: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

6.

Page 20: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Annual Turnover Category

Tick one

Less than Rs. 10 lacs

Rs. 10 lacs or above

(a)

Page 21: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Turnover in preceding financial year

Rs.

(b)

Expected

turnover in

the

current Rs.

Page 22: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 23: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

financial year

Page 24: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 25: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

/

7.

Date from which liable for registration under Delhi Value Added

/

Tax Act, 2004

Page 26: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Day

Page 27: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Month

Year

Page 28: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 29: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

8. Permanent Account Number of the applicant dealer (PAN)

9. Registration number under Central Excise Act (if applicable)

10. Principal

Place

of

Building Name/ Number

Business

Area/ Road

Page 30: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 31: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Locality/ Market

Page 32: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 33: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Email Id

Page 34: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 35: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 36: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 37: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Address for service of notice

(If different from principal place of business)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

Number of additional places of business within or outside the state

Page 38: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(also please complete Part C)

Godown / Warehouse Factory

Shop

Other place(s) of business

13. Details of main Bank

Account Number

Account

Page 39: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

MICR Number

Page 40: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Name of Bank

Page 41: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Address of Bank

Page 42: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 43: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

14. Details of investment in

Own Capital

(Rs.)

the business

Page 44: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Loans from Banks

(Rs.)

(details should be current

Page 45: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Other loans and borrowings (Rs.)

as on date of application)

Page 46: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Plant & Machinery

(Rs.)

Page 47: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Land & Building

(Rs.)

Page 48: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Other assets & investments

(Rs.)

Page 49: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 50: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

15. Description of top 5 items you deal

Description of items

Commodity Code

or propose to deal in

(1-highest

Page 51: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

1

volume to 5-lowest volume)

Page 52: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

2

Page 53: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

3

Page 54: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

4

Page 55: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

5

Page 56: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 57: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

16.

Accounting Basis

Tick one

Accrual

Cash

Page 58: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 59: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 60: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

17.

Security

(a) Amount of Security

Rs.

Page 61: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(b) Type of Security

Page 62: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 63: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 64: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(c) Date of expiry of Security

/

/

Page 65: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 66: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Day

Month

Page 67: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Year

Page 68: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 69: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

18.

Number of persons having interest in business (also please complete Part B for each

such person)

Page 70: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 71: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 72: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

19.

Number of managers

Page 73: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 74: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

20.

Number of authorised signatories

Page 75: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 76: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 77: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

21. Name of Manager

Page 78: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 79: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 80: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

First Name

Middle Name

Surname

Page 81: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

* if more than one manager, attach particulars for additional managers on a separate sheet

Page 82: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

22. Name of Authorised

Page 83: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Signatory*

Page 84: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 85: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

First Name

Middle Name

Surname

Page 86: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 87: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

*Please complete Part D

Page 88: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

23. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

______________________________________

Full Name

______________________________________

Designation/Status

______________________________________

Place

Date

Day

Month

Year

Form DVAT 04

PART - B

Page 89: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Please affix a passport size photograph of the person whose parti-cular are being given in this form

Particulars of person [proprietor/ karta/ partners/ directors in the business / Members of Executive Committee of societies, clubs etc.] having interest in the business

(Attach particulars on separate sheet for each person having interest in business)

Full Name of Applicant Dealer

Full Name of Person having interest in business

(Provide in order of first name, middle name, surname)

3. Date of birth

/

/

4. Gender (tick one)

Male

Female

Page 90: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 91: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

5. Father’s / Husband’s name

Page 92: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 93: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

First Name

Middle Name

Surname

6. PAN :

Page 94: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

7. Passport No.

Page 95: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 96: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 97: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 98: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 99: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 100: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

8. E-mail address

Page 101: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 102: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 103: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

9. Residential Address

Building Name/ Number

Page 104: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(If

different

from

Area/ Road

Page 105: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 106: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

principal

place

Page 107: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

of

Page 108: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Locality/ Market

Page 109: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 110: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

business)

Page 111: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 112: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 113: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 114: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 115: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 116: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 117: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 118: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 119: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 120: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 121: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 122: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

10. Permanent Address

Building Name/ Number

Page 123: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(If

different

from

Area/ Road

Page 124: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 125: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 126: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

residential address)

Locality/ Market

Page 127: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 128: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 129: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 130: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 131: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 132: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 133: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 134: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 135: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 136: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 137: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 138: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 139: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

11. Whether engaged in any other business

Yes

No

If yes, give details:-

Name & address of other business

Page 140: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

TIN

Status

*if engaged in two or more other business, attach details on a separate sheet

Page 141: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

12. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

______________________________________

Full Name (first name, middle, surname)

______________________________________

Designation/Status

______________________________________

Place

Date

Day

Month

Year

Page 142: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Form DVAT 04

PART - C

Details of additional places of business

1. Full Name of Applicant Dealer

2. Details of Additional Places of Business

(attach additional sheets if required)

Type

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Page 143: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Area/ Road

Locality/ Market

Page 144: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Distt.

Page 145: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Pin Code

Page 146: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Email Id

Telephone Number

Page 147: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Date of establishment

/

Page 148: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

/

Day

Month

Year

Page 149: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State local sales tax/VAT/ CST registration

number

Page 150: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(if place of business is situated outside Delhi)

Type

Page 151: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Area/ Road

Page 152: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Locality/ Market

Distt.

Page 153: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Page 154: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Email Id

Page 155: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Fax Number

Page 156: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Date of establishment

/

/

Day

Month

Page 157: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Year

State local sales tax/VAT/ CST registration

Page 158: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

number

(if place of business is situated outside Delhi)

Page 159: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 160: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Type

Godown / Warehouse

Factory

Shop

Other place of business

Page 161: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Address

Building Name/ Number

Page 162: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 163: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Area/ Road

Page 164: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 165: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Locality/ Market

Page 166: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 167: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Distt.

Page 168: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 169: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Page 170: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 171: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 172: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 173: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Email Id

Page 174: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 175: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 176: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 177: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 178: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 179: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Date of establishment

/

/

Page 180: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 181: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Day

Month

Year

State local sales tax/VAT/ CST registration

Page 182: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 183: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

number

Page 184: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(if place of business is situated outside Delhi)

Page 185: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 186: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Type

Godown / Warehouse

Factory

Shop

Other place of business

Page 187: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Address

Building Name/ Number

Page 188: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 189: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Area/ Road

Page 190: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 191: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Locality/ Market

Page 192: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 193: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Distt.

Page 194: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 195: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Page 196: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 197: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 198: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 199: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Email Id

Page 200: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 201: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 202: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 203: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 204: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 205: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Date of establishment

/

/

Page 206: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Day

Page 207: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Month

Year

State local sales tax/VAT/ CST registration

Page 208: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 209: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

number

Page 210: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(if place of business is situated outside Delhi)

Page 211: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 212: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 213: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

3. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

______________________________________

Full Name (first name, middle, surname)

______________________________________

Designation/Status

______________________________________

Place

Date

Day

Month

Year

Page 214: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Please

affix a

Form DVAT 04

passport

size

photograph

of

PART - D

the

person

whose

particulars

are

Particulars of the authorised signatory

being

given in

this form

Page 215: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(Attach separate forms giving particulars of each authorized signatory, in case of more than one authorized signatories)

Full Name of Applicant Dealer

Name of Authorised Signatory

(Provide in order of first name, middle name, surname)

(Ref. Instruction No. 9)

3.

Date of birth

/

Page 216: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

/

4. Gender (tick one)

Male

Female

Page 217: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

5.

Father’s / Husband’s name

Page 218: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 219: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

First Name

Middle Name

Surname

Page 220: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 221: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

6. PAN :

Page 222: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

7. Passport No.

Page 223: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

8.

E-mail address

Page 224: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 225: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 226: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

9. Residential Address

Building Name/ Number

Page 227: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

(If different from principal

Area/ Road

Page 228: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 229: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 230: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

place of business)

Locality/ Market

Page 231: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 232: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 233: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 234: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Distt.

Page 235: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 236: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 237: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Page 238: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 239: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 240: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 241: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 242: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 243: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 244: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 245: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 246: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 247: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 248: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 249: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 250: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 251: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

10. Permanent Address

Building Name/ Number

(If

different

from

Area/ Road

Page 252: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

residential address)

Locality/ Market

Page 253: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 254: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Distt.

Page 255: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

State

Page 256: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Pin Code

Page 257: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Telephone Number

Page 258: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Fax Number

Page 259: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 260: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

11. Declaration

I/We ________________________________________________ hereby solemnly affirm and declare that the person named above is authorised to act as an authorised signatory for the above referred business for which application for registration is being filed/ is registered under the Delhi VAT Act, 2004. All his actions in relation to this business will be binding on us.

S. No. Full Name Designation/Status Signature

(First name, Middle Name, Surname)

1.

2.

3.

Page 261: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

4.

12. Acceptance as an authorised signatory

I __________________________________________ hereby solemnly accord my acceptance to act as authorised signatory for the above referred business and all my acts shall be binding on the business.

Signature of Authorised Signatory

______________________________________

Full Name (first name, middle, surname)

______________________________________

Designation/Status

______________________________________

Page 262: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the
Page 263: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Place

Page 264: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Date

Day

Month

Year

Page 265: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Instructions for filling Registration Form (DVAT-04) (For details refer to Section 19 and Rule 12)

Please fill in all the details in CAPITAL letters.

Please note that you are mandatorily required to register if :

your turnover at any time during a financial year exceeds taxable quantum; or

you are liable to pay tax, or are registered or required to be registered under Central Sales Tax Act, 1956

(‘Taxable quantum’ is Rs. 10 lacs except in the case of an importer where it is NIL)

Please note that irrespective of the quantum of turnover of the business, a dealer may apply for voluntary registration under the Delhi Value Added Tax Act, 2004.

For field 3, an “importer” means -

a person who brings his own goods into Delhi; or

a person on whose behalf another person brings goods into Delhi; or

in the case of a sale occurring in the circumstances referred to in sub-section 2 of section 6 of the Central Sales Tax Act, 1956, the person in Delhi to whom the goods are delivered

The application for registration under this Act should be filed within thirty days from the date of person becoming liable for payment of tax.

For field 8, if the business does not have a PAN, then please mark ‘Applied for’ or ‘N/A’ as applicable.

For field 15, please fill the description of top five items on the basis of value of goods sold.

In case of any change in these details, the dealer is required to intimate the department of the amendments within one month of the change. (please refer to section 21)

Page 266: ).docx · Web viewTIN Status *if engaged in two or more other business, attach details on a separate sheet 12. Verification I/We _____ hereby solemnly affirm and declare that the

Registration application should be verified and signed by the Authorized Signatory, who is :

in the case of an individual, the individual himself, and where the individual is absent from India, either the individual or some person duly authorised by him in this behalf and where the individual is mentally incapacitated from attending to his affairs, his guardian or any other person competent to act on his behalf;

in the case of a Hindu Undivided Family, a Karta and where the Karta is absent from India or is mentally incapacitated from attending to his affairs, any other adult member of such family;

in the case of a company or local authority, the principal officer thereof;

in the case of a firm, any partner thereof, not being a minor;

in the case of any other association, any member of the association or persons;

in the case of a trust, the trustee or any trustee; and

in the case of any other person, the person competent to act on his behalf.

In case of partnerships, Part B is to be filled and signed by the managing partner plus top four other partners.

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In case of companies, Part B is to be filled and signed by the company secretary, the managing director and 3 other directors.

If required, make additional copies of the Parts and attach with application form for registration (DVAT-04).

An amendment would be required each time a person changes (and not when the details of an existing person change)

In case of minors, the specimen signature of guardian/trustee should be furnished.

In case of Part D, it is to be filled and signed by the person whose details are given in the Part.

Every sheet filled in the Parts has to be signed by the same person (authorised signatory) who has signed the registration application.

In case any of the Parts are not applicable, please strike off the same and write ‘Not Applicable’ on the said Part.

Method of Calculating Security Amount

Prescribed Security Amount

(Rs)

1,00,000

Reduction sought (Maximum reduction available Rs. 50,000)

Rebate (Rs)

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1

Proof of ownership of principal place of business

30,000

2

Proof of ownership of residential property by proprietor/ managing partner

20,000

3

Copy of passport of proprietor/ managing partner

10,000

4

Copy of Permanent Account Number in the name of the business allotted by the

10,000

Income Tax Department

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5

Copy of last electricity bill (The bill should be in the name of the business and

10,000

for the address specified as the main place of business in the registration form)

6

Copy of last telephone bill (The bill should be in the name of the business and

5,000

for the address specified as the main place of business in the registration form)


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