VATRegistrationForm

[Seerule3(1)]
ApplicationforthegrantofVAT/GENERALregistrationundersection14oftheTamilNadu
ValueAddedTaxAct

AcknowledgementNo.:10101207096568 AcknowledgementDate:04/02/2017

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1.SectionAExistingRegistrationDetailswithTamilNaduCommercialTaxesDepartment

SectionAExistingRegistrationDetailswithTamilNaduCommercialTaxes
Department

Doyouhave11DigitActiveTaxpayer
No
IdentificationNumber?

DoyouhaveAcknowledgementNumber? No

2.SectionBName,AddressandCommonBusinessDetails

SectionBName,AddressandCommonBusinessDetails

LegalNameof
RATHINAATEXTILES
Business/Dealer/Proprietor
ConstitutionDetails Proprietor

BusinessTransactionDetails

Company
IncomeTax Registrar's
Permanent AKPPR5652Q Corporate
AccountNumber Identification
Number
Custom
Registration
Registrationunder
Business
TradeMarkAct
Identification
Number

CentralExcise PartnershipFirm
Registration Registration
Number Number

ServiceTax Society
Registration Registration
Number Number

Industry
RegistrationNo./ LocalBody

SmallScale LicenseNo.,ifany
IndustriesNumber
SpecialEconomic
DirectorGeneralof
 ForeignTrade ZoneUnit
Import/ExportCode Registration
Number

LiquorLicense

Number

3.SectionCDetailsofProprietor,Partners,Directors,HUFKarta&Members,Membersof
Society,Trustee

SectionCDetailsofProprietor,Partners,Directors,HUFKarta&Members,
MembersofSociety,Trustee

1.MUTHUCHAMIRATHINAA()

GeneralInformation

NameofPerson MUTHUCHAMIRATHINAA
Father'sName
DateOfBirth
19/01/1971
(DD/MM/YYYY)

Status Proprietor
Extentofsharein
businessincase
100
ofPartnership(in
percentage)

OtherRegistrationDetailsofPerson

AadharCard
VoterIDNumber
Number
RationCard
PassportNumber
Number
Permanent
AccountNumber

BankAccountDetails

BankName SYNDICATEBANK AccountType Savings

BankBranch
PALLIPALAYAM AccountNumber 61552200010095
Name

PresentResidentialAddress

DoorNo./PlotNo. DoorNo./PlotNo.
122
Old New
BuildingName Flat/ApartmentNo.
ARASANGKADU
OTTAMETTHAI PALLIPALAYAM
Street/Road Village/Town/City
SANGAKIRIMAIN AGRAHARAM
ROAD
District Namakkal OtherDistrict
PostalIndex
State TamilNadu
Number
 PropertyTaxNo. ElectricityBoard
ConnectionNo.
CensusCode
OwnershipDetails Owned
Number

PermanentResidentialAddress

DoorNo./PlotNo. DoorNo./PlotNo.
122
Old New
BuildingName Flat/ApartmentNo.
ARASANGKADU
OTTAMETTHAI PALLIPALAYAM
Street/Road Village/Town/City
SANGAKIRIMAIN AGRAHARAM
ROAD
District Namakkal OtherDistrict
PostalIndex
State TamilNadu
Number
ElectricityBoard
PropertyTaxNo.
ConnectionNo.
CensusCode
OwnershipDetails Owned
Number

CommunicationDetails

Landline Mobile
9965843678
Number Number

Email Website,if
SHIVAPRAKASHPPM@GMAIL.COM
Address any
FaxNumber

ImmovablePropertyDetailsofProprietor,Partner,Directors,HUFKarta&Members,
MembersofSociety,Trustee

Sr.No Description Area Sharein% MarketValue(Rs.)

NoDataAvailable

4.SectionDMinorDetails(TobefurnishedincaseofGuardians)

SectionDMinorDetails(TobefurnishedincaseofGuardians)

FirstName MiddleName Surname

NameofMinor(As
perPermanent
AccountNumber)
FirstName MiddleName Surname
Father'sName
DateOfBirth
(DD/MM/YYYY)
PermanentAccount
Number
Relationshipwith
 Guardian

5.SectionEDetailsofImmovablePropertyofDealer

SectionEDetailsofImmovablePropertyofDealer

Sr.No Description Area MarketValue(Rs.) Sharein%

NoDataAvailable

6.SectionFTypeofRegistrationAppliedFor

SectionFTypeofRegistrationAppliedFor

Typeof
registration RegularDealer
appliedfor

7.SectionGTradingName,AddressandCommunicationDetailsunderValueAddedTax

SectionGTradingName,AddressandCommunicationDetailsunderValueAdded
Tax

TradeNameofDealer

TradeNameof
RATHINAATEXTILES
Dealer

PrincipalplaceofbusinessAddressofDealerapplyingforRegistration(For
CasualandNonResidentDealers,pleasespecifytemporarylocalplaceof
business)
`
DoorNo./PlotNo. DoorNo./PlotNo.
4/621
Old* New
BuildingName Flat/ApartmentNo.
ELANTHAKUTTAI
Street/Road Village/Town/City VEPPADAI
PRIVU,EKATTUR
PostalIndex
District Namakkal 638008
Number
ElectricityBoard
PropertyTaxNo.
ConnectionNo.
CensusCode
OwnershipDetails Rented
Number
TIRUCHENGODU
Circle Zone NAMAKKAL(Z)
RURAL(C)
Division SALEM(JCT)

CommunicationDetails

Landline Mobile
9965843678
Number Number
Email Website,if
SHIVAPRAKASHPPM@GMAIL.COM
Address any
 FaxNumber

8.SectionHBusinessCommencement,TurnoverandBooksofAccountsDetails

SectionHBusinessCommencement,TurnoverandBooksofAccountsDetails

DateofCommencementofBusiness
IncaseofotherthancasualandNon
03/02/2017
ResidentDealer(DD/MM/YYYY)
ForCasualandNonResidentDealer
From(DD/MM/YYYY)

To(DD/MM/YYYY)
Datefromwhichliabilitytotaxstarts
(DD/MM/YYYY)
Turnoveronthedateofapplication 0.00
EstimatedTurnoverfortheyear 3000000.00
LanguageofBooksofAccountkept ENGLISH
AccountingYearFollowed ApriltoMarch
Doyoumaintaincomputerized
Yes
Accounting?

9.SectionINatureofBusinessandCommoditiesDetails

SectionINatureofBusinessandCommoditiesDetails

Sr.No NatureOfBusiness
1 Wholeseller
2 Retailer

Sr.No PurposeofCommodity CommodityDescription CommodityCode

Commoditiesforthepurpose
oflocalsale/interstate
1 READYMADEGARMENTS 2115
transactionsorexportby
manufacturer
Commoditiesforthepurpose
oflocal
2 READYMADEGARMENTS 2115
purchase/interstate/import
commoditiesbymanufacturer
ALLTYPES
OFYARN,SEWING
Commoditiesforthepurpose
THREAD&WASTE
oflocalsale/interstate
3 (OTHERTHANIVTH 2003
transactionsorexportby
SCH),EXCL.SURIGAL
manufacturer
SEWING.THREAD)ASIN
THESCH
ALLTYPES
Commoditiesforthepurpose OFYARN,SEWING
oflocal THREAD&WASTE
4 (OTHERTHANIVTH 2003
 purchase/interstate/import SCH),EXCL.SURIGAL
commoditiesbymanufacturer SEWING.THREAD)ASIN
THESCH
TEXTILEFABRICS
Commoditiesforthepurpose COATEDWITH
oflocalsale/interstate GUM,TYRECORD
5 798
transactionsorexportby FABRICSOFTEXTILE
manufacturer FABRICS,ETCASINTHE
SCH
TEXTILEFABRICS
Commoditiesforthepurpose COATEDWITH
oflocal GUM,TYRECORD
6 798
purchase/interstate/import FABRICSOFTEXTILE
commoditiesbymanufacturer FABRICS,ETCASINTHE
SCH
Commoditiesforthepurpose
oflocalsale/interstate
7 HANKYARN 744
transactionsorexportby
manufacturer
Commoditiesforthepurpose
oflocal
8 HANKYARN 744
purchase/interstate/import
commoditiesbymanufacturer

10.SectionJBankAccountDetailsofDealer

SectionJBankAccountDetailsofDealer

Magnetic
Indian Ink
Typeof Financial Character
Sr.No BankName BranchName AccountNumber
account System Recognition
Code(IFSC) (MICR)
Code
SYNDICATE
1 PALLIPALAYAM Savings 61552200010095 N.A. 638025005
BANK

11.SectionKReferenceDetails

SectionKReferenceDetails

DoYouhavealetterofReferencefrom
ChamberofCommerce/Trade No
Association

Ifyes,NameofChamberofCommerce/
TradeAssociation
AddressofChamberofCommerce/
TradeAssociation
NameofAuthorizedPerson
recommendingonbehalfofAssociation
StatusofAuthorizedPerson
 TelephoneNumberofchamberof
CommerceandTradeAssociation

Ifnopleasespecifyreferencefromtworegistereddealer

Taxpayer Nameof
Statusofperson
Sr.No Identification NameofDealer person
recommending
Number recommending
1 33543205984 SIVATEXTILES N.A. Proprietor
2 33323205523 SHANKARTEX N.A. Proprietor

12.SectionLDetailsofAdditionalPlaceofBusinesswithinState

SectionLDetailsofAdditionalPlaceofBusinesswithinState

NoDataAvailable

13.SectionMDetailsofCorporate/RegisteredOfficeoutsidetheStateofTamilNadu

SectionMDetailsofCorporate/RegisteredOfficeoutsidetheStateofTamilNadu

NoDataAvailable

14.SectionNDetailsofBusinessManager/AuthorizedSignatory

SectionNDetailsofBusinessManager/AuthorizedSignatory

1.MUTHUCHAMIRATHINAA()

GeneralInformation

NameofBusiness
MUTHUCHAMIRATHINAA
Manager
Business
Manager'sFather
Name
DateOfBirth
19/01/1971
(DD/MM/YYYY)
Status Proprietor

OtherRegistrationDetailsofPerson

AadharCard
VoterIDNumber
Number
PassportNumber RationCardNo.
Permanent
AccountNumber

PresentResidentialAddress

DoorNo./PlotNo DoorNo./PlotNo
122
Old New
BuildingName Flat/ApartmentNo.
 ARASANKADU
OTTAMETTHAI PALLIPALAYAM
Street/Road Village/Town/City
SANGAKIRIMAIN AGRAHARAM
ROAD
District Namakkal OtherDistrict
PostalIndex
State TamilNadu 638008
Number
ElectricityBoard
PropertyTaxNo.
ConnectionNo.
CensusCode
OwnershipDetails Owned
Number

PermanentResidentialAddress

DoorNo./PlotNo DoorNo./PlotNo
122
Old New
BuildingName Flat/ApartmentNo.
ARASANKADU
OTTAMETTHAI PALLIPALAYAM
Street/Road Village/Town/City
SANGAKIRIMAIN AGRAHARAM
ROAD
District Namakkal OtherDistrict
PostalIndex
State TamilNadu 638008
Number
ElectricityBoard
PropertyTaxNo.
ConnectionNo.
CensusCode
OwnershipDetails Owned
Number

CommunicationDetails

Landline Mobile
9965843678
Number Number
EMail Website,If
SHIVAPRAKASHPPM@GMAIL.COM
Address any
FaxNumber

15.PaymentDetails

PaymentDetails

ChallanReceipt ChallanDate
Sr.No BankName ChallanAmount
Number (DD/MM/YYYY)
1 STATEBANKOFINDIA 10101207097004 04/02/2017 1000.0