FORM `A'
                                                          [See rule 3]







       Application for registration under section 7(1) / 7(2) of the Central Sales Tax Act, 1956

To

        I, ............................... son of ........................ on behalf of the dealer carrying on the business
known as ............................. within the State of ................................ hereby apply for a certificate of
registration under section 7(1)/7(2) of the Central Sales Tax Act, 1956, and give the following
particulars for this purpose:

  1.    Name of the person deemed to be the Manager in relation to the business of the dealer in the said
        State ............................................................

  2.    Status or relationship of the person who makes this application. (e.g., manager, partner,
        proprietor, director, officer-in-charge of the Government business) ..............................

  3.    Name of the principal place of business in the said State and address thereof
        ............................................................................................

  4.    Name(s) of the other place(s) in the said State in which business is carried on and address of
        every such place ..................................................

  5.    Complete list of the warehouses in the said State in which the goods relating to the business are
        warehoused and address of every such warehouse .......................................

  6.    List of the places of business in each of the other States together with the address of every such
        place (if separate application for registration has been made, or separate registration obtained
        under the Central Sales Tax Act, 1956 in respect of any such place of business, particulars
        thereof should be given in details) ........................................................................

  7.    The business is :
        wholly
        mainly
        partly
        partly
        partly

  8.    Particulars relating to registration, licence, permission, etc., issued under any law for the time
        being in force, of the dealer .......................................

  9.    We are member of ...................................................................................

  10. We keep our accounts in ........................................ language and script.

  11. Name(s) and address(es) of the proprietor of the business/partners of the business/all persons
      having any interest in the business together with their age, father's name, etc.
      ................................................................
 S. Name in Father's / Age Extent of    Present Permanant Signature   Signature and
 No Full Husband's          interest in Address Address             address of witness
             Name          the business                             attesting signature
                                                                        in column 8

  1         2              3          4            5               6              7              8                   9




  12.     Business in respect of which this application is made, was                                         first   started   on
          ...............................................................................................

  13. The first sale in the course of inter-state trade was effected on ......................

  14. We observe the ...................... calendar year and for purposes of accounts and our year runs
      from the (English date) ....... day of ............. (Indian date) .............day of ........... to the
      (English date/Indian date) ................. day of ..................

  15. We make up our accounts of sales to date at the end of every month/quarter/half year/year.

  16. *The following goods or classes of goods are purchased by the dealer in the course of inter-state
      trade or commerce for-

          (a)        resale

          (b)        use in the manufacture or processing of goods for sale ..........................

          (c)        use in mining...............................................................................

          (d)        use in the generation or distribution of electricity or any other form of power
                     .................................................................................

          (e)        use in the packing of goods for sale/resale.

  17. We manufacture, process, or extract in mining the following classes of goods or generate or
      distribute the following form of power, namely:-

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


 Name of the Applicant in full ..........................

 Signature ....................................................

 Status in relation to the dealer ...........................

 Date .............................


*Strike out portion or paragraph whichever is not applicable