Chhattisgarh Professional Tax Act - 1995

FORM 1

[See Rule3 (1)]

Application for Registration (For Employers)

To,

The Profession Tax Assessing Authority

………………… Circle.

            I hereby apply for a certificate of registration under the Chhattisgarh Vritti Kar Adhiniyam, 1995 as per particulars given below:-

The above statements are true to the best of my knowledge and belief.

Place  :                                                                       Signature  ...................................…..

Date    :                                                                       Status       ...................................…..

ACKNOWLEDGMENT

(Particulars of Name and address to be filled in by the applicant)

Received an application for registration in FORM – 1 from:-

Name of the Applicant          :           …………………………………….

Full Postal Address              :           …………………………………….

Place  :                                                                      

Date    :    

                                                                                    Signature of the Receiving Officer