Department of Goods Tax Government of Arunachal Pradesh Form RU-01 (See Rule 17 of the Arunachal Pradesh Goods Tax Rules, 2005) Certificate of Registration under Arunachal Pradesh Goods Tax Act, 2005 1. Full Name of Dealer 2. Trade Name 3. Registration Number 4. Registration Type 5. Constitution of Business 6. Nature of Business 7. Liability w.e.f. 8. Validity w.e.f. 9. Principal Place of Business Building Name/ Number _______________________________________________ Town/ Village _______________________________________________ District _______________________________________________ Pin Code _______________________________________________ Email Id _______________________________________________ Telephone Number(s) _______________________________________________ Fax Number(s) _______________________________________________ 10. Name, photographs and specimen signature of persons having interest in business Signature Signature Signature Name Name Name Passport sized (signed) photograph Passport sized (signed) photograph Passport sized (signed) photograph 11. Number of additional places of business Godowns ___________________ Factories ___________________ Shop ___________________ Other place of business ___________________ Signature and Seal of Assessing Authority Name: Designation: Note: The registration certificate shall be prominently displayed at all places of business and it shall be produced on demand by any person exercising authority under the Act and Rules. The failure to do so would result in cancellation of registration of dealer.