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Dealer Listing

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GST

e-Services

Referral Websites

Helpline No

VAT 1800-180-8066
EXCISE 91820579-73/74/78
GST Helpline 1800-180-8087

PGT/AGT Registration

Basic Details
Business Details

1.Basic Details

Vehicle Type:*

Old New

Registered In VAT:*

Yes No

VAT TIN/GST:*

Firm Name:*

Owner Name:*

Applicant Fathers Name:

2.Permanent Address Details

Email Id:

Dealer House No/ Address:

Dealer/ Village/ Town/ City:*

Dealer State:*

Dealer District:*

Circle Office

Dealer Tehsil:*

Pin Code:

Fax STD Code:

Fax No:

STD Code:

Telephone No.:

3.Notice & Communication Address Details

House No/ Address:*

Village/ Town/ City:*

State:*

District:*

Tehsil:*

Pin Code:

Fax STD Code:

Fax No:

STD Code:

Telephone No.:

Email Id:*

Status:*

If Others,Please Specify:*

Style of business:*

If Others,Please Specify:*

Owner Type:

4.Main Office Address

House No./Address:

Village/ Town/ City:*

Main Office State:*

District:*

Tehsil:*

Pin Code:*

Mobile No:*

PAN:*

TAN:

Fax STD Code:

Fax No:

STD Code:

Telephone No:

Email Id:

5.Business Details

Branch Details

Branch Name:*

Branch Type:*

If Othes,Please Specify:*

Address Details

House No./Address:

Village/Town/City:*

State:*

District:*

Tehsil:*

Pin Code:

Fax STD Code:

Fax No.:

STD Code:

Telephone No.:

Email Id:

Add more

Business Details

6.Vehicle Details

Vehicle No.:

No. of Seats:

Type of Vehicle:

Category:

Sub-Category:

Passenger Carriage:

Add more

7.Permit Details

Permit No.:

Date:

Nature of Permit:

No. of trips up and down per day:

Route/Routes/Areas Covered by the Permit:

Registration no. of Vehicles:

Remarks:

Add more

8.Partner Details

General Information

Name:

Father Name:

Status:

Extent of interest in business:

Permanent Address

House No./Address:

Village/Town/City:

State:

District:

Tehsil:

Pin Code:

Present Address

House No./Address:

Village/Town/City:

State:

District:

Tehsil:

Pin Code:

Add More

9.Details of Security Furnished

Type of security furnished:

Bank Name:

Branch Name:

PostOffice Name:

Maturity Date:

Amount:

Add more

10.Details of Surety

TIN/RC No. of Surety:

Firm Name:

Date of Surety:

Surety Amount:

Others Details

Book of Account:

Script in which book of account is maintained:

Commenced Date:

Number of copies of registration certificate required:

DECLARATION

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

Place

Status

Date

Full Name

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Dealer Listing

GST

e-Services

Referral Websites

Helpline No

PGT/AGT Registration

1.Basic Details

2.Permanent Address Details

3.Notice & Communication Address Details

4.Main Office Address

5.Business Details

Branch Details

Address Details

Business Details

6.Vehicle Details

7.Permit Details

8.Partner Details

General Information

Permanent Address

Present Address

9.Details of Security Furnished

10.Details of Surety

Others Details

DECLARATION