FORM - 101

(See rule 8)

Application for Registration under section 16 of The Maharashtra Value Added Tax Act, 2002.
To Registering Authority -Kalyan I hereby apply for grant of registration under section 16 of The Maharashtra Value Added Tax Act , 2002 1. (a) Income Tax Parmanent Account Number (PAN) of business. A F W P P 6 5 5 7 N 2. Name of the Business M A H A D E V E N T E R P R I S E S

3. Constitution
* Proprietorship HUF Partnership Co-operative Society Private Ltd. Co. Trust Public Ltd. Co. Joint Venture

4. Name of the signatory to the application G A N E S H M . P A R D E S H I

5. Status of the signatory to the application

* Proprietor Manager Partner Principal Officer Karta(adult member of HUF) Director Authorized person

6. Reasons for Registration [Please (*) tick the appropriate box]

(a) Voluntarily * (d) Full transfer of business (b) Change in the constitution (e) Exceding the prescribed trunover limit (c) Part transfer of business

6a. Voluntary registration

Introduction by a registred dealer ( should be continuously registered for 3 years) [see rule 8(11)(c)]

(i) Name of dealer (ii) TIN under MVAT Act,2002 Date of effect (DD/MM/YYYY) (iii) Signature 6b. Change in the Constitution (i) Change in constitution from To (ii) With effect from R.C. No. (Previous) 6c. Part transfer of business (i) Business transferred from (ii)TIN (iii)With effect from 6d. Full transfer of business (i) Business transferred from (ii) With effect (iii)TIN

CLEAN POWER SYSTEMS 27310379290V 01-04-2005

Proprietorship Proprietorship

6e. Exceeding the prescribed turnover limit ( The limits should be crossed in the same financial year ) The following are the sales and purchases effected in a financial year on the basis of which the application for RC has been made. Date on which turnover limits exceeded Sales Date of Sale. Purchases Date of Purchases Bill No. Name and address of the vendor R.C. No. Commodity Amount(Rs.) Bill No. Name and address of the vendor Commodity Amount(Rs.)

7 . Nature of business Main Nature Part Nature

Reseller Works Contractor Reseller Works Contractor Manufacturer Leasing Manufacturer Leasing Retailer * Restaurant Retailer Restaurant * Importer Commission Agent Importer Commission Agent Exporter Exporter

8 . Date of commencement of business Mention the date on which business is started 25-05-2013

9 . Do you want to opt for composition scheme in lieu of Sales Tax Payable?

Trans Id : 442636 Trans Date : Jul 29, 2013 Dealer Name : GANESH M.PARDESHI Page No 2 Yes
Retailer Restaurant/Caterer Bakery

No *
Second Hand Passenger motor vehicle Dealer Mandap Decorator

10 . Language in which books of accounts are maintained

* English Hindi Marathi Gujrathi

11 . Whether the records are computerized?(Please tick (*) the appropriate box )
* Yes No Partially

12 . Full address of the principal place of business Bldg. Name/Office No./Flat No. Area Name etc. Street Name ete. Village/town/city Taluka District Pin Code Telphone No. 1 Telphone No. 2 Mobile No. 1 Mobile No. 2 Fax No. Email address Email address SHOP NO.1 PARDESHI BLDG. JOSHI BAUG JOSHI BAUG Kalyan-Dombivli (M Corp.) Kalyan Thane 421301 2206239

KISHORE_KHOLE@REDIFFMAIL.COM

13 . Occupancy status of the principal place of the business

Owned * Rented Leased Rent free

14 . Full address of the additional palaces(s) of business / Godown(s) / Warehouse(s) in Maharashtra Bulding Name/Office No./Flat No Area name etc. Street Name etc. Village/town/city Taluka District Pin Code Telphone No. 1 SHOP NO. 1 PARDESHI BLDG. JOSHI BAUG JOSHI BAUG Kalyan-Dombivli (M Corp.) Kalyan Thane 421301 2206239

15. Address(s) in other State(s) and corresponding TIN under C.S.T Act , if any Bldg. Name/Office No./Flat No. Area Name etc. Street Name etc. City State Pin Code Corresponding CST RC / TIN Telphone No 16. Details of Bank Account(s) Name of the Bank Branch Account Number Type of Account MICR No 17. Main commodities to be sold SrNo. Name of the commodity Schedule Entry THE SHAMRAO VITHALCO-OP BANK LTD KALYAN 101503130007155 CURRENT 400089015

18. Main commodities to be purchased SrNo. 1 Name of the commodity EDIBLE OIL GHEE Schedule Entry C

19. A copy of my recent photograph is furnished with this application as required by sub-rule (7)of rule 8. Directors/Partners replace with Proprietor/partner/director/members of managing committee/all persons having any interest in the business

Trans Id : 442636 Trans Date : Jul 29, 2013 Dealer Name : GANESH M.PARDESHI Page No 3 Name Bulding Name/Office No./Flat No Area Name etc. Street Name etc. Village/town/city Taluka/District District PIN Code Telphone No. PAN No. P.T.E.C. No. GANESH M PARDESHI PARDESHI BLDG. JOSHI BAUG JOSHI BAUG Kalyan-Dombivli (M Corp.) Kalyan Thane 2206239 AFWPP6557N

Undertaking
I GANESH M.PARDESHI , Proprietor of M/s. MAHADEV ENTERPRISES hereby affirms that the information submitted is true to the best of my knowledge & belief.

Date :

Jul 29, 2013

Signature of applicantStatus & Authority thereof