FORM 42-A
[ See rule 42-A(1)]
Application for registration for persons liable for tax
deduction at source |
To,
The Commercial tax Officer,
Circle ……………..
I, hereby apply for a certificate of registration under
section 35-B of Chhattisgarh Commercial Tax Act,1994 as per
particulars given below:- |
[1] |
Name of the applicant |
|
[2] |
Address of the principal place of work
(Building/ Street/ Road/ municipal ward/ Town/ city/ Tehsil/
District) |
|
[3] |
Status of the person signing the form
(Whether proprietor/ partner/ principal/ officer/ agent/
manager/ director/ secretary) |
|
[4] |
Class of the person (whether individual/ firm/ company/
corporation/ society/ club/ association etc.) |
|
[5] |
If registered under Chhattisgarh Vanijyik Kar Adhiniyam,1994/
Central Sales Tax Act,1956 the number of Registration
certificate: |
|
|
(a) |
Under Vanijyik Kar Adhiniyam |
|
|
(b) |
Under Central Sales Tax Act |
|
|
(c) |
Nature of supply/ contract for which liability for tax
deduction at source arises |
|
|
Place |
Signature |
|
Date |
Status |
( Strike out whichever is not applicable). |