VAT REGISTRATION FORM


FORM101
01.Name of business for which application is made AMBER SPINTEX PVT LTD
02(a) Income Tax Permanent Account Number (PAN) of the Business for which application for registration is made AAFCA4036J
02(b) Import / Export Code No 313
02(c) Central Excise Registration No
02(d) Electrical Energy Supply Service No
02(e) Enrolment Certificate No. under Gujarat Professional Tax Act
02(f) Registration Certificate No under Gujarat Professional Tax Act
02(g) Registration number under Central Sales Tax Act, 1956, if any 99M18269186
03. Address & Details of the Owner
Owner Name* NAGARJUN MERUBHAI CHAUHAN
Name of Father/husband MERUBHAI GANGABHAI CHAUHAN
Date of Birth 18/04/1965
Place VADODARA
Occupancy Status* Rented
Room/Block/Flat No 10
Municipal No 0
Name of Building KRISHNA 10
Road/Street/Land* GULABWADI OPP ASHIRWAD SOCIETY
Area/Locality/Ward* BH GAJANAN PARK O P ROSD
Post office AKOTA
Taluka/Sub-Division* VADODARA
Village/Town/City* VADODARA
District* VADODARA
Pincode 390020
Telephone no 9825023526
Fax No
E-mail id bcpco@yahoo.in
Web-site
04. Address Details of Chief Place of Business
Room/Block/Flat No. OFFICE FF 131
Municipal No. 0
Name of Building. GAJANAN COMPLEX
Road/Street/Land.* OPP TUBE COMPANY
Area/Locality/Ward. (inside Gujarat) OLD PADRA ROAD
Post office.
Taluka/Sub-Division. (inside Gujarat) VADODARA
Village/Town/City. (inside Gujarat) VADODARA
District. (inside Gujarat) VADODARA
Area/Locality/Ward. (outside Gujarat)
Taluka/Sub-Division. (outside Gujarat)
Village/Town/City. (outside Gujarat)
District. (outside Gujarat)
State* Gujarat
Pincode. 390020
Telephone no. 9825023526
Fax No.
E-mail id. bcpco@yahoo.in
Web-site.
05 Status of Business* Private Ltd Company

06 Nature of business Activities
Business Activity If others please specify
Manufacturer

07 Commodity Details
Commodity Name If others please specify
COTTON YARN

09 Bank Account Details
Bank Name If others please specify Branch Name Bank Account No Type of Account
HDFC BANK LTD OPP TUBE COMPANY O P ROAD VADODARA 02312560003159 Current

Other details
08 Details of business property
13 (a) Total turnover of the applicant business has first exceeded Rs 5,00,000 on
13 (b) Taxable turnover of the applicant business has first exceeded Rs 10,000 on (not applicable to a dealer applying under section 22 of the Act.)
 
Previous Holder Name
Succession Date
Registration No
Registration Date
Reason of Succession

FORM 101A
Name of the business Type Address Effective Date

FORM 101B
Name of the business R.C Number under State R.C Number under CST Type Address Effective Date

VAT-FORM 101C
Authorised user detail Present Permanent
Person Name Father/Husband Name Date of birth Business status Extent of interest in business Official designation Date of joining Status Function Address Address
NAGARJUN CHAUHAN MERUBHAI CHAUHAN 18/04/1965 Director DIRECTOR Director 10, GULABWADI, , OLD PADRAROAD AKOTA, VADODARA, Gujarat- 390020. 10, GULABWADI, OPP ASHIRWAD SOCIETY, OLD PADRA ROAD AKOTA, VADODARA, Gujarat- 390020.

Partner Details
Address Extent of interest in business Present Permanent
Partner Name Father/Husband Name Date of birth Share Percent Website Address Official designation Date of joining Extent of interest in business Status Function Address Address
NAGARJUN CHAUHAN MERUBHAI CHAUHAN 18/04/1965 33.33 DIRECTOR Director 10, GULABWADI, OPP ASHIRWAD SOCIETY, OLD PADRA ROAD AKOTA, VADODARA, Gujarat- 390020. 10,GULABWADI, OPP ASHIRWAD SOCIETY,OLD PADRA ROAD AKOTA, VADODARA,Gujarat, 390020, , , .
KAMLESHBHAI CHAUHAN MERUBHAI CHAUHAN 11/12/1973 33.33 DIRECTOR Director KRISHNA 10, GULABWADI, OPP ASHIRWAD SOCIETY, OLD PADRA ROAD AKOTA, VADODARA, Gujarat- 390020. KRISHNA 10,GULABWADI, OPP ASHIRWAD SOCIETY,OLD PADRA ROAD AKOTA, VADODARA,Gujarat, 390020, , , .
RAMBHAI CHAUHAN SAMATBHAI CHAUHAN 14/08/1979 33.34 DIRECTOR Director 17, VINAYAK SOCIETY, OPP GREEN PARK SOCIETY, AKOTA, VADODARA, Gujarat- 390020. 17,VINAYAK SOCIETY, OPP GREEN PARK SOCIETY,AKOTA, VADODARA,Gujarat, 390020, , , .

Additional Information
(a)Capacity Unit(M.T) Quantity Value(Rs)
Licensed Capacity
Installed Capacity
(b)Production
Commodity HSN Code M.T Value
Total Value of Plant & Machinery
Actual Production
No. of persons employed
Electricity Consumer No.
Consumption(Annual) Unit Amount
Electricity
Fuel for Captive Power Plant

VAT-Form106
Manager Details
Manager Name Designation Address Branch Nominated By Nominee Status Nomination Date
NAGARJUN MERUBHAI CHAUHAN DIRECTOR 10 GULABWADI OPP ASHRWAD SOCIETY OLD PADRA ROAD AKOTA VADODARA AMBER SPINTEX PVT LTD DIRECTOR Director

Declaration
I. of the above enterprise hereby declare that the particulars given above are true and complete. I here-by submit the application form for the issuance of Certificate of Registration under section 21 and 22 of the Gujarat Value Added Tax Act, 2003.
 
Place : Signature
 
Date : Name of the applicant :
 
  Status :
 
I,further undertake to produce a printed and signed copy of the application for registration before the concerned registering authority preferably on the next working day. I also undertake to present attested copies and original documents as required under the VAT Act and Rules.