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ET - Registration Form: Dealer Details

This document contains a registration form for an ET dealer. It requests information such as the dealer's firm name, address, bank account details, commodity details, purpose of import, locations where imported goods will be stored, and particulars of immovable properties owned by the dealer or persons having interest in the imported goods. Fields are provided to enter details like name, address, phone number, commodity name, bank name and account number, storage locations, property descriptions and locations. The form is to register a dealer and provide necessary information for the registration process.

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Prarthana Mohapatra
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102 views17 pages

ET - Registration Form: Dealer Details

This document contains a registration form for an ET dealer. It requests information such as the dealer's firm name, address, bank account details, commodity details, purpose of import, locations where imported goods will be stored, and particulars of immovable properties owned by the dealer or persons having interest in the imported goods. Fields are provided to enter details like name, address, phone number, commodity name, bank name and account number, storage locations, property descriptions and locations. The form is to register a dealer and provide necessary information for the registration process.

Uploaded by

Prarthana Mohapatra
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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ET - Registration Form

Dealer Details
VAT Acknowledgement Number/TIN Number
01) Firm Name*
Registration type*
Applicant Name*
Father Name*
02) Permanent Address
Room/Block/Flat No
Building Name
Municipality No
Street Name
Area/Locality*
Village/Town/City/Block*
District *
State * Bihar
Village/Town/City/Block* (If Non Residential Dealer)
District * (If Non Residential Dealer)
State *(If Non Residential Dealer)
PIN Code
E-Mail Id
Phone No.
Fax No.
03) Present Address
Room/Block/Flat No :
Building Name :
Municipality No :
Street Name :
Area/Locality* :
Village/Town/City/Block* :
District * :
State * : Bihar
Village/Town/City/Block* (If Non Residential Dealer) :
District * (If Non Residential Dealer) :
State *(If Non Residential Dealer) :
PIN Code :
E-Mail Id :
Phone No. :
Fax No. :
04) Legal Status of Business (Constitution of Business) *
05. Name & Bank account details
Bank and Branch Name* Other Bank Name

Commodity Details*
07) Commodity Name* Other Commodities

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Other Branch Name Account No.* Type Of Account*

08) Purpose Of Import*


Address of Chief Place of Business
Room/Block/Flat No:
Building Name:
Municipality No:
Street Name:
Area/Locality*:
Village/Town/City/Block*:
District *:
State *: Bihar
PIN Code:
E-Mail Id:
Phone No.:
Fax No.:
09) Details of branch/additional place(s) of business in
State/India
Name* Type*

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Address Details
Room/Block/Flat No Building Name Municipality No Street Name Area/Locality*
Village/Town/City/Block* District * State * PIN Code
E-Mail Id Phone No. Fax No.
Complete list and location of the places where imported goods to be stored
Holding Number * Room/Block/Flat No Building Name Municipality No

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be stored
Street Name Area/Locality* Village/Town/City/Block* District *
State * PIN Code E-Mail Id Phone No.
Fax No. Goods Stored* Remarks*
10. Particulars of all immovable properties owned by the importing dealer or all the persons hav
(A)Particulars

01) Full Name* 02) Status*

11) Registration No. or License No.


he importing dealer or all the persons having interest in the imported goods

03) Nature of interest in the business* 04) Estimated value of interest(%) *


oods
06) Location of Properties

05) Description of properties owned Room/Block/Flat No. Building Name


Municipality No Street Name Area/Locality* Village/Town/City/Block*
District * State * PIN Code E-Mail Id Phone No.
Fax No.

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