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THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 1
Application for New Registration
[See sub-rule (1) of rule 5]
Application No. 2011000634

If it is an application for New registration, state whether:


Compulsory under section 24(1)(a): / Voluntary under section 24(1) V
Name of the Applicant:
First Name: SANKAR

Middle Name:
Last Name: GHOSH

Sex: Male

Father's/Husband Name:
SURENDRA CHANDRA GHOSH

Trade Name:
M/S S.ROY & CO.

Address of the Principal place of bussiness:


Room/Flat No. 156/A/65,

Premises No. & Street: B.T.ROAD

City/Town: KOLKATA

District: NORTH 24 PARGANAS

Pin Code: 700108

Municipal/Local Body: BARANAGAR MINICIPALTY

Occupancy Status: Rented

Status of the business: Unregistered Partnership

If partnership, no. of partners: 3

Nature of Business:
Works Contractor Other
Application No. 2011000634
Detail of contact person(s):
Name: SANKAR GHOSH

Designation: PARTNER

Address: 5, DR. S.P. MUKHERJEE ROAD,


BELGHARIA, KOLKATA 700056

Telephone No.
Mobile No. 9230090144
Fax No.
Email id: consultsen@gmail.com

Class or Classes of goods (Sale / Purchase):


Commodity Name: MISC. TAXABLE GOODS NOT SPECIFIED ELSEWHERE.

Nature of Dealing: Work Contract


Sale / Purchase: Sale
Raw Material / Fin Goods: Raw Materials
Taxable / Non Taxable: Taxable

Detail of Bank Account:


Name: AXIS BANK LTD

Branch: SHREE TOWERS BRANCH

Account No. 910020038269864

Account Type. C
Application No. 2011000634
Registration Number (if any) under the West Bengal state Tax on Profession, Trades,
Callings and Epmolyment Act, 1979:
EWC2183684

PAN/TAN Number under the Income Tax Act, 1961 (if any) :
ABUFS5056K

ECC Number under the Central Excise and Traffic Act, 1985 (if any) :

Certifacte of Enlistment issued by the Municipal/Local Body :


Certificate Number : B6164

Date of Issue of the certificate : 27/09/2010 (DDMMYYYY)

Date of last renewal of the certificate : (DDMMYYYY)

Total amount of purchase, sales and contractual transfer price(C.T.P)of good in


(a) Last year :
Purchases Rs.0.00 Sales Rs.0.00 C.T.P Rs.0.00
(a) Current year :
Purchases Rs.62133.00 Sales Rs.67390.00 C.T.P Rs.0.00

Date of commencement of purchase, sale and works contract :


(a) Date of commencement of purchase : 24/02/2011 (DDMMYYYY)

(b) Date of commencement of sale : 28/02/2011 (DDMMYYYY)

(c) Date of commencement of works contact (DDMMYYYY)

Voluntary Liability:
Gross sales first exceeded sales of Rs. 28/02/2011 (DDMMYYYY)

CTP sales first exceeded sales of Rs. 50,000 (DDMMYYYY)

SANKAR GHOSH
I ...............................................................do hereby declare that the above statements are true to the best of
my knowledge and belief.
Date 18/03/2011 Signature.........................................
*(Proprietor/Partner/Karta/Managing Director/Director/Company

Status: PARTNER

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