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Covernment of the People,s Reprrblic of Bangladesh
National Board of Revenue
Vat Registration Form for \on Resiclent
I See Rules.l(l r] Mushak_2.2
,6." 8U";!NE55 ti{FotiMATioN*
A1. Type of Ownership:

(a) Proprietorship: .r-^1,.:t::r

(b) Pa rtnership:

(d) Public
(c) Private Limited i;:.,i.{"i;
Limited
":ttt::....,
{e) lnternational Organization (0 NGo
;11'..'::q,,

(g) Educational tnst.

:ll(1:11
a::ta::a,..
IPlease specify in
(h) Other the field belorryl

B. General lnformation

81. Name of the Entity.

82, Trading Brand name (if ony)

83. Company Registered/

lncorporation Number
abroad {if ony)

84. Country of lncorporation

(il applicoble)

85.Tax ldentification Number

(il onyj
 <'lRqkq.f ctrqB, qBRw, {[s'qrr l.t, Q.oQ.o )lobl
/
B6.VAT/GST/sales Tax
Registration Number in
country of incorporation lif onYJ

(" COT;TACT IilTORMATION

IWhether Bongladesh
Addressl
C1. Business OPeratlons Address*

C2. CitY*

Cl. Ccuntry*

C4. Land Telephone Number /fonyl

C5. Mobile Telephone Number if onyl

C6. e-Mail*

C7. Fax Number /y'ony/

C8. Web address (r/onyl

f;. flrA.,fiii AREA 0F ECoNOMIC AeTiVtTY*

D1. Services
: .,

",, ' Please

D2. Other 'r- ,:: Specify

;: IIF'IAS SF STRVICE JMANilA'I'ORY l!* YOU SELEC'I'I'SEtriVI( ESt' tN FIIILD llll

2. Tradi g including
1. Construction e-Comn erce

3. Real Estate 4. Transport

6. Flnan,ial
5. Electricity/Gas/Water Supply lnstitutton

7. l.lotel & Guest Houses 8. Resta Jrants

l-

)lobb <tRq.rcq-"f 6ffi, qBRw, +trsrJl a.e., toQ.o

: . ::::' 10, Research &

9, Rental & Leasing Service Consu lta ncy

12. Education &

11, Healthcare Tra ining

13. Telecommunication & Internet 14. Software & ITES

16. Event
Management &
15. Sports & entertainment Catering "$;

18. Tour Operator &

17, Workshop & Engineering Travel Agent

19. Advertising & Promotion 20. Custurns

Brokerage & Freight
Forwarding
: :::l:i..
21. Radio & TV Operations ':ijr:'' 22. Consultancy

23. Others

(Please specify)

F. BUSINESS CLASSITICATION CODE

Commercial lUSE SEPARATE

Deseription of
Description of Service Code CODE FOR EACH
Service Code
Suoolv ECONOMIC

1 ACTIVIW
ACCORDING TO
2 YAUR SELECTION
IN SECTION 'E"
3, ABOVE]
I Add separate sheet for more service code]

6. BANK AccouNT DETAILS ilf account needs to be opened in Bangladesh, lf may not possible, so it
needs to be optional.

l-'' L.o*-ft#ii;l,T$;i , ',.

Ffl,{*il ,.,,in.r,
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3.

iAdtl separate sheet t'or ntore bonk occountsl

1,

2.

:,''id s€par(ite sheet for more owners/directors.]

L &uthorized VAT Agents Detalls*

11, VAT Aeent Number

12. Name of VAT

13. Address of VAT

14. BIN of VAT Apent

15. E-llN of VAT

.!. Farticulars of VAT ldgent's Authorired persons*

ldentity Mobile
Full name :NID': Passport Nationality E-mail
CateEorv nla
NrD/
1.

NrD/
Z,

NrD/
3.
Passport

(, leilarltion

:'rr rhr d;iiils and ifllormation provided in this form ar€ true and .omplete. I am aware that any untruc or
r
';'rr,'ir,$ri: srat{:meni may result in d€lay in Bl i.l issuance and I may b€ subiected to full penalty of the law.

FULL NAME:*

DESIGNATION:*
SIGNATURE OF AUTHORIZED PERSON

( f:or mo n ual s ubmission anly)

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