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Application for Registration

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....linked with the Permanent Account Number of the applicant].   Part B  1. Trade Name, if any      2. Constitution of Business (Please Select the Appropriate) (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)   10[4.1 Option for registration under rule 14A YES                   ....

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....ion of approving authority     13. Are you applying for registration as a SEZ Developer? Yes __ No__   (i) Select name of SEZ Developer      __ (ii) Approval order number and date of order     (iii) Designation of approving authority     14. Reason to obtain registration: (i)   Crossing the threshold (viii) Merger /amalgamation of two or more registered persons (ii)   Inter-State supply (ix)  Input Service Distributor  (iii)  Liability to pay tax as recipient of goods or services u/s 9(3) or 9(4) (x) Person liable to pay tax u/s 9(5)  (iv)  Transfer of business which includes change in the ownership of business (if transferee is not a registered entity) (xi) Taxable person supplying through e-Commerce portal (v)  Death of the proprietor (if the successor is not a registered entity) (xii) Voluntary Basis (vi) De-merger (xiii) Persons supplying goods and/or services on behalf of other taxable person(s) (vii)  Change in constitution of business (xiv) Others (Not covered above)  Specify 15. Indicate existing reg....

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....sp;  Note  Add more accounts ------     18. Details of the Goods supplied by the Business    Please specify top 5 Goods   Sr. No. Description of Goods HSN Code (Four digit) (i)     (ii)     ...     (v)       19. Details of Services supplied by the Business.  Please specify top 5 Services   Sr. No. Description of Services HSN Code (Four digit) (i)     (ii)           (v)     20. Details of Additional Place(s) of Business  Number of additional places                                         Premises 1 (a) Details of Additional Place of Business  Building No/Flat No   Floor No   Name of the Premises/Building   Road/Street   City/Town/Locality/Village   District   Block/Taluka       State   PIN Code             Latitude &n....

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....one 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&n....

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.... his equivalent  (h) Statutory Body  Chief Executive Officer or his equivalent   (i) Others  Person in Charge  2. Constitution of Business: Partnership Deed in case of Partnership Firm, Registration Certificate/Proof of Constitution in case of Society, Trust, Club, Government Department, Association of Persons or Body of Individuals, Local Authority, Statutory Body and Others etc.  3. Proof of Principal Place of Business: (a) For Own premises - Any document in support of the ownership of the premises like latest Property Tax 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.&nb....

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....sp;                                          Name:                                                                                         Designation/Status:                                                                   &....

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....  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 Applicant Type of Signature required  Sr. No Type of Applicant Type of Signature required  1. Private Limited Company  Public Limited Company Public Sector Undertaking  Unlimited Company Limited Liability Partnership  Foreign Company  Foreign Limited Liability Partnership   Digital Signature Certificate (DSC)- Class-2 and above. 2. Other than above Digital Signature Certificate class 2 and above e-Signature  or  any other mode as may be notified 8. All information related to Permanent Account Number, Aadhaar, Director Identification Number, Challan Identification Number shall be validat....