The Jharkhand Tax On Profession, Trades, Callings And Employments Act, 2011

Forms

			FORM-JPT101
			[See Rule 3(1)]
			Application of Registration by the Employer
			Under section 7(1) the Jharkhand Tax on Professions, Trades, Callings and Employments Act, 2011
		I hereby apply for a Certificate of Registration under the above mentioned Act, as per particulars furnished hereunder:
		Sl. No.	Particulars
		1	Name of the Applicant/Employer:
		2	(i) Nature of the profession, trade, etc.:
			(ii) Full postal address and telephone Nos. of the main place of work:
			(iv) Full postal address and telephone Nos. of any additional place/of Work.]
			(v) Fax No./Mobile No./e-mail id
		3	Class of employer: Individual-01, Partner-02, Firm-03, Company-04, Corporation-05, Society-06, Club and Association-07, Others specify-08
		4	Status of person signing this Form: Proprietor-01, Partner-02, Principal Officer-03, Agent-04, Manager-05, Director-06, Secretary-07, others specify-08.
		5	Whether you are registered under JVAT Act 05 please "tick" the appropriate.	yes                       No
		6	If yes please furnish your TIN No.
		The above statements are true, correct and complete to the best of my knowledge and belief.
		Date:
				Signature with Status
		Date of issue:
				Signature of the Issuing Officer
		ACKNOWLEDGMENT
		(Particulars of name and address to be filed in by applicant) Received an application for Registration in Form-JPT-101
		From
		Name:		Application No:
		Address:
		Date:		Signature of the Issuing Officer