Department of GoodsTax Government of Arunachal Pradesh Form RF-02 (See Rule 18 of the Arunachal Pradesh GoodsTax Rules, 2005) Application for Amendment in Registration under Arunachal Pradesh GoodsTax Act, 2004 Checklist of Supporting Documents Please tick as applicable Mandatory Supporting Documents . Annexures of the Form duly filled in (in case any of the annexures is not applicable, please mention the same ) . Proof of incorporation of the applicant dealer i.e. Copy of deed of constitution (partnership deed (if any), certificate of registration under the Societies Act, Trust deed, Memorandum and Articles of Association etc) duly certified by the authorised signatory . Proof of identity of authorised signatory signing the Registration Application Form . Two self addressed envelopes (Without stamps) . Additional Security, if applicable . Please attach Annexure I of RF-01providing details of new person(s) having interest in the business . Please attach Annexure III of RF-01change in authorised signatory Optional Supporting Documents (For reduction in Security Amount) . Proof of ownership of principal place of business . Proof of ownership of residential property by proprietor/ managing partner . Copy of passport of proprietor/ managing partner . Copy of Permanent Account Number in the name of the business allotted by the Income Tax Department . Copy of last electricity bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form) . Copy of last telephone bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form) Reasons for Rejection (For Office Use Only) Please tick as applicable . Not attached Mandatory Support Document(s)___________________________________________________________ . Other __________________________________________________________________________________________ Instructions for filling Form RF-02 1. Please do fill in your registration number 2. Please note that the following supportings, if applicable, has to be submitted along with the amendment application (i) Proof of change in the name of the business. (ii) Proof of change in the principal/ other places of business. (iii) Documents evidencing acquisition of business or sale or disposal of business in part. (iv) Proof of change in constitution of the business. 3. Please note that this form has to be verified and signed by the following: (i) in the case of an individual, by the individual himself, and where the individual is absent from India, either by the individual or by some person duly authorised by him in this behalf and where the individual is mentally incapacitated from attending to his affairs, by his guardian or by any other person competent to act on his behalf; (ii) in the case of a Hindu Undivided Family, by a Karta and where the Karta is absent from India or is mentally incapacitated from attending to his affairs, by any other adult member of such family; (iii) in the case of a company or local authority, by the principal officer thereof; (iv) in the case of a firm, by any partner thereof, not being a minor; (v) in the case of any other association, by any member of the association or persons; (vi) in the case of a trust, by the trustee or any trustee; and (vii) in the case of an other person, by some person competent to act on his behalf. Form RF-02 Application for Amendment in Registration. Please fill in your registration number and tick the headings under which you wish to change the details of your registration. 1. Full Name of Applicant Dealer Registration Number 2. Trade Name 3. Nature of Business (Tick all applicable) . Manufacturer . Wholesaler . Distributor . Retailer . Exporter . Importer . Interstate Seller . Interstate Importer . Works Contractor . Leasing . Others, please specify 4 Constitution of Business Tick one . Proprietorship . Private Ltd. Company . Public Sector Undertaking . Partnership . Government Company . Government Corporation . HUF . Public Ltd. Company . Govt Deptt/ Society/ Club/ Trust . Leasing . Others, please specify 5. Type of Registration Tick one . Mandatory . Voluntary . 6. Annual Turnover Category (a) Turnover in preceding financial year (b) Turnover in the current financial year . Less than Rs 5 lacs Rs. __________________ Rs. __________________ . Rs 5 lacs or above Rs. __________________ Rs. __________________ 7. Basis of incurring liability to pay tax Tick whichever is applicable Turnover exceeding Rs. 5 lacs . Voluntary registration 8. Date from which liable for registration under Arunachal Pradesh Goods Tax Act, 2005 ___ ___ / ___ ___ / ___ ___ ___ ___ DD / MM / YYYY 9. Permanent Account Number of the applicant dealer (PAN) 10. Registration number under Central Excise Act (if applicable) 11. Principal Place of Business Building Name/ Market Name ________________________________________________ Town/ Village ________________________________________________ District ________________________________________________ Pin Code ________________________________________________ Email Id ________________________________________________ Telephone Number(s) ________________________________________________ Fax Number(s) ________________________________________________ 12. Address for service of notice If different from principal place of business Building Name/ Market Name ________________________________________________ Town/ Village ________________________________________________ District ________________________________________________ Pin Code ________________________________________________ Email Id ________________________________________________ Telephone Number(s) ________________________________________________ Fax Number(s) ________________________________________________ 13. Details of all Bank Account/s Account Number ________________________________________________ Name of Bank ________________________________________________ MICR Number ________________________________________________ Address of Bank ________________________________________________ ________________________________________________ 14. Details of Modified Security Amount of Security already Furnished Additional Security furnished at the time of Amendment Mode : __________________________________________ Date of Expiry: ___________________________________ Amount: Page 2 of 2 Form RF-02 Application for Amendment in Registration. 15. Closure of Additional Place of Business Date of closure of additional place of business Building Name/ Market Town/ Village District Pin Code Email Id Telephone Number(s) Fax Number(s) _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Type Tick One . Godown/ Warehouse . Factory . Shop . Other places of business 16. New Additional Place of Business Date of opening of additional place of business Building Name/ Market Town/ Village District Pin Code Email Id Telephone Number(s) Fax Number(s) _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ Type Tick One . Godown/ Warehouse . Factory . Shop . Other places of business 17. Exit of person having interest in the business Full Name of person Date of Birth Date of Exit __ __ / __ __ / __ __ __ __ DD / MM / YYYY 18. Entry of new person having interest in the business * Full Name of person Date of Birth Date of Entry __ __ / __ __ / __ __ __ __ DD / MM / YYYY 19. Change of Authorised person $ Full Name of new person authorised Date of Birth Date of Change __ __ / __ __ / __ __ __ __ DD / MM / YYYY 20. Change of Manager of Business Full Name of new Manager Date of Birth Date of Change __ __ / __ __ / __ __ __ __ DD / MM / YYYY 21. Top 5 items you deal in (1-highest to 5-lowest) Description Code 1. ________________________________ 2. ________________________________ 3._________________________________ 4._________________________________ 5. ________________________________ ______________ ______________ ______________ ______________ ______________ Summary of Proposed Changes: * Attach Annexure I of RF-01; $ Attach Annexure III of RF-01. Serial No. Present position Proposed Change Reason and proof of change, if any 21. Verification I/We _______________ hereby solemnly affirm and declare that the information given in this form and its attachments (if any) is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory Name Designation Place Date Page 3 of 3
