"Form PT- I Application for registration under Section 5 of the Bihar Tax on Profession, Trades, Callings and Employments Act, 2011 (See Rule 3) I …………………………………….(full Name), Son of ……………………….(full Name) hereby apply for the grant of a registration certificate under Section 5 of the Bihar Tax on Profession, Trades, Callings and Employments Act, 2011 and furnish following particular for that purpose-
(1) * PAN of the Employer/Deductor
(2) * Name as per PAN
(3) * Email ID
(4) * Mobile Number :
(5) Name of the employer/Deductor : -
(6) TAN
(7) Name as per TAN 11 ॢबह�र गजट [स�ध�रण�� 11 जलुाई 2019
(8) Upload copy of TAN
(9) Address (Give details of house number/Shop number/Locality/Post Office/Police Station/Block/ *Town/*City/*District.) :-
(10) Name of the circle, within whose jurisdiction the office of the employer/Deductor is situated
(11) GSTIN (if any) :-
(12) Office Name :-
(13) Date of liability :- I do hereby declare that the particular furnished in this application are correct and complete to the best of my knowledge and belief.
Name of the Applicant ………………….………… Status (Drop down)……………………………….