"Form PT- IA Application for enrollment under second proviso to Section 5 and Section 6(2) of the Bihar Tax on Profession, Trades, Callings and Employments Act, 2011 (See Rule 4) 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 person filing application
(2) * Name as per PAN
(3) * Email ID of the applicant :
(4) * Mobile Number :
(5) Name of the Firm (if any) : -
(6) Address (Give details of house number/Shop number/Locality/Post Office/Police Station/Block/ *Town/*City/*District) :-
(7) Name of the circle, within whose jurisdiction the address of the applicant is situated
(8) GSTIN (if any) :-
(9) Date of liability :-
(10) Nature of Profession, Trade, Calling or Employment- 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)……………………………….
12 ॢबह�र गजट �[स�ध�रण� 11 जलुाई 2019