THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 1

Application for New Registration

[See sub-rule (1) of rule 5]

[Please see Instructions before filling up the Application]

01 Application for New Registration / Amendment of Certificate of Registration

2 If it is an application for New Registration, state whether

Compulsory under section 24(1)(a) / Voluntary under section 24(1)(b)

3 If it is an application for amendment of certificate of registration, state your

Registration Number

4 Name of the Applicant:

First Name
Middle Name
Surname

05. Sex: Male / Female

06. Father’s Name / Husband’s Name:

07. Trade Name:

08. Address of the Principal place of business:

Room/Flat No.
Premises No. & Street
City/Town
District
Pin Code
Municipal / Local body

09. Occupancy Status :

10. Status of the business :

11. If partnership, number of partners :

12. Names of two contact persons:

First person
Second person

13. Status of the contact persons referred to in Serial No 12:

First person
Second person

14. Address of the two contact persons referred to in Serial No 12:

First Person:

Second Person:

15. Contact Numbers of the two contact persons referred to in Serial No 12:

First Person:

Telephone Number
Mobile Number
Fax Number
E-mail Address

Second Person:

Telephone Number
Mobile Number
Fax Number
E-mail Address
16. Address of all Branch Offices within West Bengal.

First Branch:

Room/Flat No.
Premises No. & Street
City/Town
District
Pin Code
Municipal / Local body

Second Branch:

Room/Flat No.
Premises No. & Street
City/Town
District
Pin Code
Municipal / Local body

17. Name of the State and Registration Numbers of the Branch Offices outside West Bengal (if any):

First Branch:

(a) Name of the State :

(b) Under The State Act :

(c) Under the Central Sales Tax Act, 1956 :

Second Branch:

(a) Name of the State :

(b) Under The State Act :

(c) Under the Central Sales Tax Act, 1956 :

18. Addresses and Telephone numbers of all Warehouses in West Bengal:

First Warehouse:
(i) Address:

(ii) Telephone Number

Second Warehouse:
(i) Address:

(ii) Telephone Number

19. Addresses and Telephone numbers of all Factories in West Bengal:

Factory 1:
(i) Address:

(ii) Telephone Number

Factory 2
(i) Address:

(ii) Telephone Number

(a) (b) (c) (d)

20. Nature of Business.
(For code no. refer to instruction sheet appended to the form)

If one of the codes=01, please specify the

name of commodity/ commodities
manufactured.

If one of the codes=12, please specify the

name of commodity/ commodities imported.

21. Number of Registration Certificate issued by Registrar of Companies, West Bengal:

22. Class or Classes of goods purchased or intended to be purchased for the purpose of:

a) Resale of taxable goods in West Bengal:

b) Resale of non-taxable goods in West Bengal:

c) Use as raw materials in the manufacture of taxable goods in West Bengal:

d) Use as raw materials in the manufacture of non-taxable goods in West Bengal:

e) Use in the execution of works contract in West Bengal:

23. Details of Bank Account:

First Bank:

Name:

Branch:

Account No.

Address:

Second Bank:

Name:

Branch:

Account No.

Address:

Third Bank:

Name:

Branch:

Account No.

Address:

24. Registration Number (if any) under the West Bengal State Tax on Professions, Trades, Callings
and Employments Act, 1979:
25. PAN/TAN Number of the firm under the Income Tax Act, 1961 (if any):

26. ECC Number under the Central Excise and Tariff Act, 1985 (if any):

27. Certificate of Enlistment issued by the Municipal / Local Body.

a) Number of the Certificate

D DMMY Y Y Y
b) Date of issue of the certificate :

D DMMY Y Y Y
c) Date of last renewal of the certificate :

28. Total amount of purchases, sales and contractual transfer price (C.T.P) of goods in:

(a) Last year:

Purchases Rs. Sales Rs. C.T.P. Rs.

(b) Last Quarter:

Purchases Rs. Sales Rs. C.T.P. Rs.

29. Date of commencement of purchase, sale and works contract:

D DMMY Y Y Y
a) Date of commencement of purchase :

D DMMY Y Y Y
b) Date of commencement of sale :

D DMMY Y Y Y
c) Date of commencement of works contract:
I,…………………………………………….do hereby declare that the above statements are true to the
best of my knowledge and belief .

Signature………………………………
Date…………………… *(Proprietor/Partner/ Karta/ Managing Director/ Director/
Company Secretary/Trustee/ President/General Secretary)
Status ………………………………

*Please use separate sheet wherever space is inadequate.

Information for filling up the application for registration form.

1. Please tick whichever is applicable.

2. Please tick whichever is applicable.

3. Please write your registration number in the appropriate box.

4. Please enter the name of the applicant in the order of first name, middle name and
then surname in the appropriate box.

5. Strike off whichever is not applicable.

6. Please enter the name of father or husband of the applicant in the order as
prescribed in serial no 04.

7. Please enter the name under which the business trades. If the business trades
under own name, enter the same.

8. Please enter the address of the principal place of business in the appropriate box
beginning with Room/Flat Number followed by Premises Number and Street, City/Town,
District, Postal Index Number and name of the Municipal / Local body under the jurisdiction
of which the Principal place of business is located.

9.Fill in the boxes with the appropriate code (given below) that identifies the occupancy status:
Owned - 01 Rented - 02 Leased - 03 Rent-free - 04 Others - 05

10. Please enter the two digit code that identifies the status of the business from the selection
below:
Proprietary -01 Unregistered Registered Partnership Hindu Undivided
Partnership -02 -03 Family - 04

Private Limited Public Limited Public Sector Undertaking Government Company

Company -05 Company -06 -07 -08
Statutory Body Co-operative Society- Government – Others -12
-09 10 11

11. Write the number of partners.

12. Please write names of two contact persons starting with the first name, then middle name and
surname.

13. Status of two contact persons in relation to the business is to be stated (eg. Partner, Director,
Manager etc.)

14. Please enter the address of two contact persons in the appropriate boxes in the format
prescribed in serial no. 8.
15. Please mention the telephone number, mobile number, fax number, e-mail number of the
contact persons in the appropriate boxes.

16. Please enter the address of two branch offices in the appropriate boxes. If there are more than
two branches, please use a separate sheet.

17. Please enter the name of the state and the registration number of the branch offices under the
respective State Act and Central Sales Tax Act, 1956. If there are more than two branches,
please use a separate sheet.

18. Please enter the address and the telephone numbers of the warehouses in the appropriate box.
If there are more than two warehouses, please use a separate sheet.

19. Please enter the address and the telephone numbers of the factories in the appropriate box. If
there are more than two factories, please use a separate sheet.

20. Please enter the two-digit code in box (a) from the following list, which describes your
business. If more than one code is applicable use other boxes too.

Manufacturer -01 Distributor -02 Agency -03 Wholesaler -04

Retailer -05 Auctioneer -06 Works contractor Transferor of right
-07 to use goods -08
Hire Purchaser -09 Hotelier -10 Club -11 Importer -12
Exporter -13 Others -14

21. Please write the number in the appropriate box.

22. (a) In case you are a reseller of taxable goods, please enter the names of the major taxable
commodities in which you deal.

(b) In case you are a reseller of non-taxable goods, please enter the names of the major non-
taxable commodities in which you deal.

(c) In case you are a manufacturer of taxable goods, please enter the names of the raw
materials required for manufacturing of such goods.

(d) In case you are a manufacturer of non-taxable goods, please enter the names of the raw
materials required for manufacturing of such goods.

(e) In case you are a works contractor, please enter the names of the commodities used in the
execution of works contract.

23. Please enter the name, branch, account number and address of the banks where the accounts
are maintained. If you have more than three branches please use a separate sheet.

24. to 26. Please enter the number in the appropriate box.

27. Please write the Certificate of Enlistment number, date of issue of such certificate and last
renewal of the certificate. For example, if the date of issue is 1 st June, 2004, please write 01
against DD, 06 against MM and 2004 against YYYY.

28. Please state the purchase amount, the sales amount and the amount representing contractual
transfer of goods against appropriate column.

29. Please write the dates as per procedure prescribed in serial no. 27 above.
 WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM-A
[See sub-rule (3) of rule 5]
Annexure to Application in Form 1 for Registration to be filled in by the
Proprietor/Partners/Karta, as the case may be, of the business for *Proprietorship/
Partnership/HUF Business
[Please use separate sheet for each Person.]

Affix a duly
attested passport
size photograph

1. Name of the person :

First Name
Middle Name
Surname

D D M M Y Y Y Y
02. Date of Birth :

3. *Father’s / Husband’s name :

04. Extent of interest in the

business:**

05. How long associated with the business Years Months

6. Other business interest in the state ( Please specify) :

7. Other business interest outside the state ( Please specify) :

8. Present Residential Address:

9. Permanent Residential Address:

10. Contact numbers:

Telephone Number
Mobile Number
Fax Number
E-mail Address

11. Income Tax Pan No.:

12. Details of Personal Bank Account ***:

Name:

Branch:

Account No.

Address:
 Account held: Solely / Jointly

13. Details of personal immovable assets :

14. Specimen signature :

*Proprietor/Partner/Karta

15. Signature of the witnesses attesting the specimen signature at serial number 14 above:

First Witness:

Signature:

Name:

Address:

Seal:
 Second Witness:

.
Signature :

Name:

Address:

Seal:

Signature of the Applicant in Form 1

_____________________________
Status of the Applicant

___________________________________________________________________

* Strike off whichever is not applicable.

** Extent of interest in the business – Share in the profit of the business.
*** If there is more than one Bank Account use a separate sheet.
Note: Witness can be any Government Officer who is empowered to attest any
document or any Advocate or any person as defined in sub-clause (iv) of clause
(a) of sub-rule(1) of rule 3.
 THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM B
[See sub-rule(4) of rule 5]

Annexure to Application in Form 1 for Registration to be filled in by the *Managing

Director/ Director/ Secretary of a Private Limited Company or a Public Limited
Company or Trustee of a trust.
[Please use separate sheet for each Person.]

Affix a duly
attested passport
size photograph

1. Name of the *Managing Director/ Director/ Secretary/ Trustee :

First Name
Middle Name
Surname

D D M M YY YY
02. Date of Birth :

03. Official Designation

04. How long associated with the business Years Months

05. Present Residential Address:

6. Permanent Residential Address:

7. Contact numbers:

Telephone Number
Mobile Number
Fax Number
E-mail Address

08. Income Tax Pan No.:

09. Specimen Signature of the

*Managing Director/ Director/ Secretary/
Trustee

10. Signature of the witnesses attesting the specimen signature at serial number 09. above:

First Witness:

Signature:

Name:

Address:

Seal:

Second Witness:

.
Signature :
 Name:

Address:

Seal:

_____________________________
Signature of the Applicant in Form 1

_____________________________
Status of the Applicant

___________________________________________________________________

Note: Witness can be any Government Officer who is empowered to attest any
document or any Advocate or any person as defined in sub-clause (iv) of clause (a) of
sub-rule (1) of rule 3.

*Strike off whichever is not applicable.

 THE WEST BENGAL VALUE ADDED TAX RULES, 2004

FORM C
[See sub-rule (5) of rule 5]

Annexure to Application in Form 2 for registration to be filled by the dealers who were
registered under the West Bengal Sales Tax Act, 1994 on 31st March 2004

01. Registration Number under the West Bengal Sales Tax Act 1994

02. Registration Number under the Central Sales Tax Act 1994

(Tick whichever is applicable)

03. If the business was enjoying any Industrial Incentive Scheme under
the West Bengal Sales Tax Act,1994 as on 31st March 2004 Yes / No

05. If yes, please specify :

a) Name of Incentive Scheme: *Tax exemption under section 39/ De

(* Stike out whichever is not section 40 or section 42 or section 43
applicable.) under section 41 or section 42 or sect

b) Eligibility Certificate No. and date of effect thereof:

c) Date of expiry of the Certificate:

06. if the dealer is also engaged in the execution of Works Contract

under section 15 of West Bengal Sales Tax Act 1994: Yes No
(Tick whichever is applicable)

07. if the dealer is also engaged in leasing of goods

under section 2(30)(c) of West Bengal Sales Tax Act 1994: Yes No

08. Name of Chamber of Commerce or Trade Association

where the dealer is a member:
_____________________________
Signature of the Applicant in Form 2

_____________________________
Status of the Applicant