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Employer's Registration Form: Ahmedabad Municipal Corporation Mahanagar Seva Sadan

The document is an application form for an Employer's Registration Certificate under the Gujarat State Tax on Professions, Trades, Callings and Employments Act, 1976. It requests information such as the applicant's name and address, status, type of business, date of commencement, number of employees, tax registration numbers, and a declaration. Upon receipt, the application is reviewed and a Registration Certificate Number is issued or the existing certificate is revised.

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0% found this document useful (0 votes)
371 views1 page

Employer's Registration Form: Ahmedabad Municipal Corporation Mahanagar Seva Sadan

The document is an application form for an Employer's Registration Certificate under the Gujarat State Tax on Professions, Trades, Callings and Employments Act, 1976. It requests information such as the applicant's name and address, status, type of business, date of commencement, number of employees, tax registration numbers, and a declaration. Upon receipt, the application is reviewed and a Registration Certificate Number is issued or the existing certificate is revised.

Uploaded by

romi jani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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AHMEDABAD MUNICIPAL CORPORATION

Mahanagar Seva Sadan


FORM 1 [See rule 3(1)]
Employer’s Registration Form
Application for a Cerificate of Enrolment/Revision of Certificate of Registration under sub-
section(1) of section 5 if the Gujarat State Tax on Professions, Trades, Callings and
Employments Act, 1976.

I hereby apply for a Certificate of Registration under the above mentioned Act as per particulars given below :
(Please type or use block letter only.)
A) Old RC No.
B) Property Tax Tenament No. : (C) Ward No.:
Mention B or C of above Compulsory
1. Full name of the Applicant (#):
2. Name of Establishment (Firm) (#):
3. Address (#):
PIN
4. Residential address of Applicant:
5. Telephone No. with STD code (O) (R)
FAX Email.
6. Status of person signing this form: (Put tick mark in the applicable box) (Any One
Compulsory)
Proprietor Partner Principal Officer Agent
Manager Director Secretary Other
7. Class of Employer: (Put tick mark in the applicable box). (Any One Compulsory)
Individual Firm Company Corporation
Society Club Association Other
8. Date of Commencement of Business / Profession etc. (#) :-
9. Number of employees and salary and wages paid to them(As on the date of application)
(Please give details as per entry 1 of schedule 1 on separate sheet)
10. Date from which liable for RC No.(#): ____ / ____ /.
11. Bank details:
Name of the Bank, Branch & Address A/c. No. & MICR No

12. Please mention from the following whichever is applicable. (Any One Compulsory)
(a) G. S. T. R. No. / Vat (Tin) No.:
(b) C. S. T. R. No. :
(c) Professinal Tax No.:
(d) Gumastadhara Regis. No.:
(e) Companies Act Regis. No.:
(f) P. A. No. (Income Tax / PAN):
Declaration : The above statements are true to the best of my knowledge and belief.
Place : Signature
Date : Status
(#)Marked fields are Compulsory
For Office Use Only
Registration Certificate No.:

Signature of the Officer Issuing the Certificate


Acknowledgement
Received an application for registration in Form 1 from: (Particulars of the name and address
to filled in by the applicant)
Name of Applicant: ___________________________________________________________
Full Postal Address:_____________________________________PIN__________________
Receiving Officer’s Signature:__________________________ DATE:________________

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