6. Date of commencement of business : * / / 7.Details of the Proprietor / Partners / Directors, etc.:* 1 2 3 4 5 6 7 Name Age Name of Father / Husband Status Present Address Permanent address Extent of share or interest in business Bank where account is available with Bank Code Bank Account No. PAN Passport No. Ration Card No. Voter ID No. Signature 8. Telephone No. 9. Fax No. 10. E-Mail ID 11. Web site: 12. Nature of Business (v tick) Manufacture Wholesale Retail Export Hire Purchase Works Contract Leasing Hotels Food & Drink Others 13. Turnover on the date of this application Rs. 14. Main commodities dealt / to be dealt * 1. 2. 15. Sources of purchase : * (v tick) Within the State Inter-State Import from outside the country 16. Details of immovable property, if any, for: (i) Business (ii) Proprietor / Partner / Director Location Survey No. Extent of land / area Registration Doc. No. & Year Registration jurisdiction 17. **Reference of Chamber of Commerce (Trade Association (or) two respectable persons /business in the applicant's area 1 2 Name of the Chamber / business Address Name of the person recommending Status TIN Signature with seal ** The details required in column 17 need not be furnished by the dealers whose registration is in force under the TNGST Act,1959. 18. Payment details of Registration fee: Amount DD/ Crossed cheque / Banker's cheque No. Date Name of the Bank Branch code DECLARATION I / We * ____________________________________________ do hereby declare that the particulars furnished in the application above are true, correct and complete to the best of my knowledge and belief. Place :* Signature of the applicant* Date :* Name :* Status & Relationship to the firm:* Seal (* marked are compulsory)
