FORM NO. A Application for Registration under Section 7(1) & (2) of the Central Sales Act 1956 The Central Sales Tax (Registration and Turnover ) Rules 1957 To, I/We ---------------------------------------------------------------------on behalf of the dealer carrying on the business known as ---------------------------------------------With in the State of Madras hereby apply for a certificate of registration under section 7(1) and (2) of the Central Sales Act 1956 and give the following particulars for this purpose: 1. Name of the person deemed to be the manager in relation to the business of the dealer in the said state. 2. Status to relationship of the person who makes this application (i.e. manager, proprietor, director, officer in charge of the Government business) 3. Name of the principal place of business in the said State and address thereof. 4. Name(s) of the other place(s) in the said State in which business is carried on and address of every such place. 5. Complete list of the warehouses in the said State in which the goods relating to the business are warehoused and address of every such warehouse. 6. List of the places of business in each of the other State together with the address of every such place (if separate application for registration has been made, or separate Registration obtained under the Central Sales Act 1956 in respect of any such Place of business particulars there of should be given in detail) 7. The business is Wholly/Mainly/Partly 8. Particulars relating to registration Licence permission etc., issued under any law for the time being in force of the dealer. 9. We are members of 10. We keep our accounts in language and script. 11. Name(s) and address(es) if the proprietor of the business partners of the business all Persons having any interest in the business together with their age, father's age name etc. 12. Business in respect of which this applications is made was firsted stated on. 13. The first sale in the course of interstate trade was effected on. 14. We observe the English calendar and for purpose of accounts our year runs from 15. We make up our accounts of sales to the date at the end of every month/ Quarter year /half year/ year. 16. The following goods or classes of goods are purchased by the dealer in the Course of inter-state trade or Commence for Serial Name in Father's/Husband's Age Extent of interest No. Full Name in the business 1. 2. 3. 4. 5 Present Address Permanent Address Signature Signature & Address of 6. 7. 8. witness attesting Signature in col (8) 9. (a) Resale (b) Use in the manufacture or processing of goods for sale. (c) Use in mining. (d) Use in the generations of distribution of electricity or any other form of Power Namely. (e) Use in the packing of goods for sale/ resale. 17. We manufacture process of extract in Mining the following classes of goods or generate or distribute the following Form of power namely. The above statements or true to the best of my knowledge and behalf. Name of the applicant (in full) Signature of status in relation to the dealer
