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Application for Enrolment as Goods and Services Tax Practitioner

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..... ore proceeding to fill up Part-B. PART B 1. Enrolling Authority Centre __ State __ 2. State/UT 3. Date of application 2 [ 4. Enrolment sought: (1) Chartered Accountant (2) Company Secretary (3) Cost and Management Accountant (4) Graduate or Postgraduate or its equivalent degree in Law (5) Graduate or Postgraduate or its equivalent degree in Commerce (6) Graduate or Postgraduate or its equivalent degree in Banking including .....

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..... Retired from Centre/ State 7.1 Date of Retirement 7.2 Designation of the post held at the time of retirement Scanned copy of Pension Certificate issued by AG office or any other document evidencing retirement 8. Applicant Details 8.1 Full name as per PAN 8.2 Father s Name 8.3 Date of Birth 8.4 Photo 8.5 Gender .....

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..... mber give consent to Goods and Services Tax Network to obtain my details from UIDAI for the purpose of authentication. Goods and Services Tax Network has informed me that identity information would only be used for validating identity of the Aadhaar holder and will be shared with Central Identities Data Repository only for the purpose of authentication. Verification I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. Place DSC /E-sign of the Applicant/EVC Date Name of the Applicant .....

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