Professional Tax Form – I

 I have Attached Professional Tax Form – I

FORM I

[Vide Rule3(1) of A.P. Tax on Professions, Trades, calling and employment Rules, 1987]

APPLICATION FOR REGISTRATION

To

The Professional Tax Officer,
_____________________________
_____________________________
            I hereby apply for a certificate of Registration under the above mentioned Act as per particulars given Below: –

 

Name of the Applicant :

Address: Building Street / Road:

Municipal Ward:

Town / City:                                                                           Pin Code:

Mandal :                                                                                District :

 

Status of person signing this form : put(√) mark below the heading whichever is applicable.

Proprietor	Partner	Principal Officer	Agent	Manager	Director	Secretary

 

Class of Employer : put(√) mark below the heading whichever is applicable.

Individual	Firm	Company	Corporation	Society	Club	Association

If registered under the A.P.G.S.T. Act, 1957 / Central State Tax Act, 1956, the Numbers of Registration certificates held :

A.P.G.S.T.R.C.No.                                                                                          C.S.T.R.C.No.

Names and address of other places of work, if any, in Andhra Pradesh:

S.No	Name	Address

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

 

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

 

Registration Certificate No.

Signature of Officer Issuing Certificate

ACKNOWLEDGEMENT
(Particulars of name and address to be filled by the applicant)

Received an application for enrolment in Form I  From

Name of the Applicant :

Full Postal Address:                                          Dated:

Receiving Officer’s Signature

 

Click Here To Download Professional Tax Form – I