Department Of Commercial Taxes,Jharkhand
Jharkhand Professional Taxes

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NEW REGISTRATION (FORM-JPT-101)

FORM JPT-101
[See Rule 3(1)]
Application of Registration by the Employer,
Under section 7(1) the Jharkhand Tax on Professions,Trades,Callings and
Employments Acts,2011
All * marked columns are mandatory
Circle:
I hereby apply for a Certificate of Registration under the above mentioned Act, as per particulars furnished hereunder -
1.Name of the Applicant/Employer:*
2. (I)Nature of profession,trade,etc.:*
(II) Full postal address and telephone Nos. of the main place of work:
Address :*
City:*
District:*
Mobile/Phone:*
Address of addtitional places of work
(III) Full postal address and telephone Nos. of any additional place of Work:
Address City District Mobile/Phone
(IV) Fax No./Mobile No./E-mail Id :
Fax No.:
Mobile No:*+91-
Email-ID:*
3.Class of employer: *
4.Status of person signing this Form: *
5.Whether you are registered under JVAT Act 05 please "tick" the appropriate.
 If 'no' furnish your PAN No./TAN No.:
6.Date Of Liability:
30-01-2012
Bank Details:
Bank Name * Branch Name * Account Number *
The above statements are true, correct and complete to the best of my knowledge and belief.
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