Form 1a - Annexure To Application In Form 1 For Registration To Be Filled In By The Proprietor

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FORM 1A
[See sub-rule (4) of rule 7]
(Annexure to Application in Form 1 for Registration to be filled in by the Proprietor/ Partners/
Karta, as the case may be, of the business for Proprietorship/ Partnership/ HUF Business
[ Please use separate sheet for each partner.]
Affix a duly
attested recent
passport size
photograph
.
01. Name of the person :
02. Date of Birth :
D
D
M
M
Y
Y
03. Father’s / Husband’s name :
04. Extent of interest in the business :
05. How long associated with the business :
Years
Months
06. Other business interest in the state (Please specify) :
07. Other business interest outside the state (Please specify) :
08. Present Residential Address :
09. Permanent Residential Address :
10. Contact Numbers :
(i) Telephone
(ii) Mobile
(iii) Fax
(iv) E-mail
11. Income Tax PAN No. :
12. Details of Personal Bank Account :
Name of the Bank :

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