Professional Tax Form – II
I have Attached Professional Tax Form – II
FORM II
Application for Certificate of Enrolment/Revision of Certificate of Enrolment
under the Andhra Pradesh Tax on Professions, Trades, Callings and
Employments Act, 1987
(See Rules 4(1) and 6(2))
To
The Professional Tax Officer,
_____________________________
_____________________________
I hereby apply for a certificate of enrolment / revision of certificate of enrolment under the above mentioned Act as per particulars given below:
| 1. Name of the applicant | : | |
| 2. Full Postal Address | : |
|
| 3. Date of birth and Age | : | |
| 4. Profession, Trade or Calling | : | |
| 5. Period of standing in profession in years and months | : | |
| 6. Numbers of other places of works (Please give the address of
the places) |
: | |
| 7. Annual turnover of all sales / purchases | : | |
| *8. Number of workers engaged in the factory | : | |
| *9. Number of employees in the establishment | : | |
| *10. If Co-operative Society whether State Level ,District Level or
Mandal Level |
: | |
| *11. Number of Vehicles for which permit under M.V. Act is held;
3 Wheelers Trucks and Buses Total |
: | |
| *12. Enrolment No. of previous certificate, if any | : | |
| *13 If registered under APGST Act 1957/ CST Act, 1956 the No. of registration Certificates held APGST Act, 1957 CST Act, 1956 |
: | |
| *14. Grounds on which revision is sought | : | |
| (attach additional sheets if necessary) | : |
The above statements are true to the best of my knowledge and belief.
Dated : Signature with status.
*Please fill up whichever is applicable.
For office Use Only
Enrolment No. :
Date of Enrolment : Signature of Issuing Officer
ACKNOWLEDGEMENT
(Particulars of name and address to be filled by applicant)
Received an application for enrolment in Form From
Name : Application No:
Address: Dated:
Signature of Receiving Officer.
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