APPLICATION FORM FOR ISSUE OF TRADING LICENCE
1. Full Name of the Applicant :……………………………………………
2. Age :……………………………………………
3. Father’s/Husband’s Name:
4. Permanent Address :…………………………………………… Circle……………..PO/PS District……………………………………..
5. Present address :…………………………………………... ……………………………………………. …………………………………………….
6. Land allotment order No. & date (attested photocopy to attached) :…………………………………………….
7. Location of plot :…………………………………………….Sector………………………………………
8 Type of Building :OBI/MIBT/SPT/Log Type/RCC/Yet to be constructed
9. Total Plinth area of Building :…………………………………………….
10. Total covered area of fencing/compound wall :…………………………………………….
11. Whether space for parking and storage provided :Yes/No
12. Details of shop Rooms : Indicated on annexure-II (specify how many shop rooms are there and how many Trade would be called out in case of them.
13. Whether land revenue paid up to date (photocopy of Treasury Challan be attached) and land sketch map photocopy) :…………………………………………….
14. In case of rented premise, submit following details :…………………………………………….
the landlord 's noc is a general form. there is no prescribed format.THIS CAN BE GIVEN ON PLAIN PAPER OR LAND LORD LETTERHEADSAS PER PROFORMA GIVEN BELOW.
DATE
from
name&address OF LAND LORD
to
the asst. commissioner
central excise dept
range
name of city
Dear sir,
SUB: NO OBJECTION CERTIFICATE
iam owner of premises address------------ WHERE M/S ---(NAME OF CO ) ARE LOCATED TO WHOM I HAVE LEASED OUT THE ABOVE PREMISES. A COPY OF LEASE DEED IS ENCLSOSED (IF AVAILABLE).I HAVE NO OBJECTION FOR M/S-- -(NAME OF CO.) OBTAINING A CENTRALISED REGN. FOR SERVICE TAX PURPOSE AT THE SAID PREMISES.
THANKING YOU
YOURS FAITHFULLY
SIGNATURE
((NAME)
R.V.RAO
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant
- 6 - ANNEXURE-III (See SL.No.15 and 16 of the Format) Sl. No Full name and address of share holder No. of share Total 1 2 3 4 Full name and Signature of the applicant Initial of authorized Official/Inspector
- 5 - ANNEXURE-II (See SL.No.12 of the Format) Sl. No Room No. Name & Style of Business Articles to be trade services to be rendered 1 2 3 4 Specify (with reason) why these activities can be run in that particular location (Residential/Commercial) Full name and Signature of the applicant Verification report/comments of authorized officer/official Name & Signature of Inspector/authorized official
- 4 - a) Lease agreement in original to be attached ii) Name of owner of building with Document and electricity bill. iii) Permanent address of owner :…………………………………………….:…………………………………………….: Village…………………………………… Circle…………………………………… District…………………………………. 15. In case of partnership business furnished the following details. i) Deed of partnership ii) List of share holders as provided in the guidance’s (indicated on Annexure-II :…………………………………………… : : 16. In case of Pvt. Ltd Company business furnished the following details i) Registration Certificate ii) Memorandum of Articles of Association. iii) List of share holders as provide in the guidelines (indicated on Annexure-III) (Includes all partner in case partnership and share holder in case of companies) :…………………………………………….17. Have you even been convicted by any court of law for committing unlawful activities. Ifyes, give details :Yes/No 18. Total investment amount within Rupees Ten lakh (if no, forwarded by DC/ADC to the Government for approval) :Yes/No UNDERTAKING VERIFICATIONI/We do hereby solemnly affirm that the information above is true and correct to the best of my/our knowledge and belief. I/We do hereby undertake to abide by all the terms and condition of trading licence if issued to me/us and also undertake the same in case of expiry of lease agreement without further extension of the lease. It is also to certify that I /We do not belong to a family of government employees. Date: Place Signature in full of the Applicant