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TMI BlogApplication for RegistrationX X X X Extracts X X X X X X X X Extracts X X X X ..... ) (i) Proprietorship __ (ii) Partnership __ (iii) Hindu Undivided Family __ (iv) Private Limited Company __ (v) Public Limited Company __ (vi) Society/Club/Trust/Association of Persons __ (vii) Government Department __ (viii) Public Sector Undertaking __ (ix) Unlimited Company __ (x) Limited Liability Partnership __ (xi) Local Authority __ (xii) Statutory Body __ (xiii) Foreign Limited Liability Partnership __ (xiv) Foreign Company Registered (in India) __ 8[(xiva) One Person Company] (xv) Others (Please specify) 3. Name of the State ♦ District ♦ 4. Jurisdiction State Centre Sector, Circle, Ward, Unit, etc. others (specify) 5. Option for Composition Yes __ No ___ 6. Composition Declaration __ I hereby declare that the aforesaid business shall abide by the conditions and restrictions specified in the Act or the rules for opting to pay tax under the composition scheme. 6.1 Category of Registered Person < tick in check box> (i) Manufacturers, other than manufacturers of such goods as may be notified by the Government for which option is not available (ii) Suppliers making supplies referre ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ty Partnership Identification Number/Foreign Limited Liability Partnership Identification Number Importer/Exporter Code Number Registration number under Medicinal and Toilet Preparations (Excise Duties) Act Registration number under Shops and Establishment Act Temporary ID, if any Others (Please specify) 16. (a) Address of Principal Place of Business Building No./Flat No. Floor No. Name of the Premises/Building Road/Street City/Town/Locality/Village District Taluka/Block State PIN Code Latitude Longitude (b) Contact Information Office Email Address Office Telephone number STD Mobile Number Office Fax Number STD (c) Nature of premises Own Leased Rented Consent Shared Others (specify) (d) Nature of business activity being carried out at above mentioned premises (Please tick applicable) Factory / Manufacturing __ Wholesale Business __ Retail Business __ Warehouse/Depot __ Bonded Warehouse __ Supplier of services __ Office/Sale Office __ Leasing Business __ Recipient of goods or services __ EOU/ STP/ EHTP __ Works Contract __ Export __ Import __ Others (Specify) __ 17. Det ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... y (in case of foreigner only) ZIP code 22. Details of Authorised Signatory Checkbox for Primary Authorised Signatory __ Details of Signatory No. 1 Particulars First Name Middle Name Last Name Name Photo Name of Father Date of Birth DD/MM/YYYY Gender Mobile Number Email address Telephone No. with STD Designation /Status Director Identification Number (if any) Permanent Account Number Aadhaar Number Are you a citizen of India? Yes / No Passport No. (in case of foreigners) Residential Address in India Building No/Flat No Floor No Name of the Premises/Building Road/Street Block/Taluka City/Town/Locality/Village District State PIN Code 23. Details of Authorised Representative Enrolment ID, if available Provide following details, if enrolment ID is not available Permanent Account Number Aadhaar, if Permanent Account Number is not available First Name Middle Name Last Name Name of Person Designation / Status Mobile Number Email address Telephone No. with STD FAX No. with STD 24. State Specific Information Profession Tax Enrolment Code (EC) No. Profession Tax Registration Certif ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Receipt or Municipal Khata copy or copy of Electricity Bill. (b) For Rented or Leased premises A copy of the valid Rent / Lease Agreement with any document in support of the ownership of the premises of the Lessor like Latest Property Tax Receipt or Municipal Khata copy or copy of Electricity Bill. (c) For premises not covered in (a) and (b) above A copy of the Consent Letter with any document in support of the ownership of the premises of the Consenter like Municipal Khata copy or Electricity Bill copy. For shared properties also, the same documents may be uploaded. (d) For rented/leased premises where the Rent/lease agreement is not available, an affidavit to that effect along with any document in support of the possession of the premises like copy of Electricity Bill. (e) If the principal place of business is located in a Special Economic Zone or the applicant is an Special Economic Zone developer, necessary documents/certificates issued by Government of India are required to be uploaded. 4 Bank Account Related Proof 5[, where details of such Account are furnished:] Scanned copy of the first page of Bank passbook or the relevant page of Bank Statement or Scanne ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... rietorship Proprietor Partnership Managing / Authorised Partners Hindu Undivided Family Karta Private Limited Company Managing / Whole-time Directors Public Limited Company Managing / Whole-time Directors Society/ Club/ Trust/ AOP Members of Managing Committee Government Department Person In charge Public Sector Undertaking Managing / Whole-time Director Unlimited Company Managing/ Whole-time Director Limited Liability Partnership Designated Partners Local Authority Chief Executive Officer or Equivalent Statutory Body Chief Executive Officer or Equivalent Foreign Company Authorised Person in India Foreign Limited Liability Partnership Authorised Person in India Others (specify) Person In charge 5. Information in respect of authorised representative is optional. Please select your authorised representative from the list available on the common portal if the authorised representative is enrolled, otherwise provide details of such person. 6. State specific information are relevant for the concerned State only. 7. Application filed by undermentioned persons shall be signed digitally:- Sr. No Type of Appli ..... X X X X Extracts X X X X X X X X Extracts X X X X
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