FORM 1 (Gmployers' Registration Form) Application for Registration under sub-section (1) of section 5 of the Gujarat State Tax on Professions Trades, Callings and Employmente Act, 1976. [See Rule 3(1)] Thereby apply for a Certificate of Registration under the above mentioned ‘Act as per particulars given below : (PLEASE TYPE OR USE BLOCK LETTERS ONLY) ane of the Applicant ‘Bullding Sores Rood ianicipal ware iaiess Town/City Pin Code Tua Tass ‘ratus of paren signing this fom. Dut (P) matic below the heating whichever is applicable: pecpristor | Partner | Principal Offiom| agent | Manager | Directar | saxotayClass of Employer Put (¥) mazk bellow the heading whichever is applicable, [tnaividuar| Firm | Company] Corporation| Society] Club] Association Tf registered under the Grjarat Sales Tax Act, 1969/Oentral Sales Tax Act 1956, the nnnters of Registration Certificates held : G.S.7. RC. ©.8.7. RCN. ‘The above statenente are true to the hest of my knowledye and belief Dee seve SNIE cs esenene — For office uae aly Raglatuation Certificate No, Sigunanct tecttion .. Teuiaytecatitices ‘Acknowledgment (Particulars of nane and addrens to be filed in by the applicant) Received an application for registration in Roum I frem Nave of the applicant Full Feetal Adress Renate Sige... Toner EES