20th October, 2005
Notification No. 32/2005-Service Tax
In exercise of the powers conferred by rule 3 of the Service Tax (Registration of Special Category of Persons) Rules, 2005, the Central Board of Excise and Customs hereby specifies the form for the purpose of registration under the said rules, namely:-
[Application form for registration under Section 69 of the Finance Act, 1994 (32 of 1994)]
(Please tick appropriate box below)
New Registration
Amendments to information declared by the existing Registrant
Registration Number in case of existing Registrant seeking Amendment _____________
1. (a) Name of applicant
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(b) Address of the applicant
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2. Details of Permanent Account Number (PAN) of the applicant
(a) Whether PAN has been issued by the Income Tax Department
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Yes No
(b) If Yes, the PAN
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(c) Name of the applicant (as appearing in PAN)
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3. (a) Constitution of applicant (Tick as applicable)
(i) Proprietorship
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(ii) Partnership
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(iii) Registered Public Limited Company
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(iv) Registered Private Limited Company
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(v) Registered Trust
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(vi) Society/Cooperative society
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(vii) Others
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(b) Name, Address and Phone Number of Proprietor/Partner/Director
(i) Name
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(ii) Address
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(iii) Phone Number
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4. Category of Registrant (Please tick appropriate box)
(a) Person liable to pay service tax
(i) Service provider
(ii) Service recipient
(b) Other person/class of persons
(i) Input service distributor
(ii) Any provider of taxable service whose aggregate value of taxable service in a financial year exceeds three lakh rupees
5. (a) Nature of Registration (Tick as applicable)
(i) Registration of a single premise
(ii) Centralized Registration for more than one premises
(b) Address of Premises for which Registration is sought
(i) Name of Premises / Building
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(ii) Flat/Door/Block No.
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(iii) Road/Street/Lane
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(iv) Village / Area / Lane
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(v) Block/Taluk/Sub-Division/Town
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