FORM - I

(Vide Rule3 (1) of A.P. Tax on Professions,Trades,Calling and employment Riles, 1987)
APPLICATION FOR REGISTRATION
To
The Professional Tax Officer,
Vijayawada Municipal Corporation.

I hereby apply a certificate of Registration under the above mentioned Act as per particulars given
below:

Name of the Applicant

Phone No: E-Mail ID:

Trade / Profession:

Address Building Street / Road / D No:

Municipal Ward : Town / City :

Mandal. District : Pin Code:

Status of person signing this form: mark below the heading whichever is applicable.
Proprietor Partner Principal Officer Agent Manager Director Secretary

Class of Employer : Put ( ) mark below the heading whichever is applicable.

Individual Firm Company Corporation Society Club Association

If registered under the A.P.VAT, 2005 / Central State Tax Act, 1956, the Numbers of Registration
certificates held.
A.P.VAT R.C.No.. C.S.T.R.C.No.

Names and address of other places of work, if any, in Andhra Pradesh:

S.No Name Address

The above statements are true to the Best of my knowledge and belief.

Date : …………………… Signature ……………………………………………………

Status………………………

. (For Office Use only)

Registration Certificate No.

Signature of Officer Issuing Certificate

……………………………………………………………………………………………………………………………
ACKONOWLEDGEMENT
(Particulars of name and address to be filled by the applicant)
Received an application for enrolment In Form -I

Name of the Applicant. Dated:

Full Postal Address.

 Receiving Officer’s Signature

Notes:

1. This Form-I is to be submitted by the Employer who is having employees in his

establishment.

2. Nature of business or profession :

3. Salary of the Employees :

Sl.No. Monthly Salary Range Professional Tax No. of Employees

1 Upto Rs.15,000 Nil

2 From Rs.15,001 to Rs.20,000 Rs.150 pm

3 Above Rs.20,000 Rs.200 pm

4. I certify that the above particulars are true and correct.

5. The Organization PAN card copy or PAN card copy of Proprietor.

6. Aadhar card copy of the Responsible Person.

7. Address proof of Organization

8. Bank Account details

9. APVAT TIN / GST / Service Tax / Trade License Copy.

10. In case of Company, Copy of In Corporation Certificate along with MOA & AOA

11. In case of Firm, Partnership deed Copy.

12. Employees details list as per slab rates mentioned in note 3.

Name & Signature

As per the G.O.Ms.No.498, Revenue (CT-IV) dt 03-08-2012, the following categories of

persons are not come under jurisdiction:

1. Transport companies and Transport Contractors

2. Drivers of Commercial transport vehicles
3. Work Contractors other than Municipal contractors
4. Retail Liquor shops
5. Distilleries/Wineries/Breweries
Government Treasury Head= 0028- Other taxes on Income & Expenditure
MH 107 – Taxes on Professions, Traders, Callings and Employment;
SH (04) – Tax collections in Vijayawada Municipal Corporation Area

FORM -II
Application for Certificate of Enrolment / Revision of Certificate of Enrolment
under the Andhra Pradesh Tax on Professions , Trades, Callings and
Employments act, 1987(Sec Rules 4(1) and 6(2))
To
The Professional Tax Officer,
Vijayawada Municipal Corporation,
Vijayawada.
I hereby apply for a certificate of enrolment / revision of certificate of enrolment under the above
mentioned Act as per particulars given below.

1 Name of the Enterprises/Firm

2 Full Postal Address

3 Date of incorporation in Vijayawada

4 Profession, Trade or Calling.

5 Period of standing in profession in years and months

Number of other places of works (

6
Please give the address of the places)

7 Annual turnover of all sales / purchases

8 Number of works engaged in the factory

9 Number of employees in the establishment

If Co-operative Society whether State Level, District

10
Level or Mandal Level

Number of Vehicles for which permit under M.V.Act Is

11
held: 3 Wheelers / Trucks and Buses Total

12 Enrolment No of previous certificate, if any

If registered under APVAT Act 2005/CST Act,1956 the

No. Of registration Certificates held
13
APVAT Act,2005 / CST Act,1956

14 Grounds on which revision is sought

Attach additional sheets if necessary

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

Dated : Signature with status.

Please fill up whichever is applicable.
..................................................................................................................................................................
FOR OFFICE USE ONLY
Enrolment No:

Date of Enrolment Signature of Issuing Officer

..................................................................................................................................................................
ACKNOWLEDGEMENT
(Particulars of name and address to be filled by applicant)
Received an application for enrolment in form. From

Name Application No:

Address Dated :

Signature of Receiving Officer

Notes:

13. This Form-II is to be submitted by the assesses (other than a person earning salary or
wages, in respect of whom the tax if payable by his employer) liable to pay tax under this
Act.
14. Nature of business or profession :
15. The Organization PAN card copy or PAN card copy of the proprietor.
16. Aadhar card copy of the Responsible Person.
17. Address Proof of Organization.
18. APVAT TIN / GST / Service Tax / Trade License Copy.
19. In case of Company, Copy of In Corporation Certificate along with MOA & AOA
20. In case of Firm, Partnership deed Copy.

Name & Signature

As per the G.O.Ms.No.498, Revenue (CT-IV) dt 03-08-2012, the following categories of persons
are not come under jurisdiction:

1. Transport companies and Transport Contractors

2. Drivers of Commercial transport vehicles
3. Work Contractors other than Municipal contractors
4. Retail Liquor shops
5. Distilleries/Wineries/Breweries

Government Treasury Head= 0028- Other taxes on Income & Expenditure

MH 107 – Taxes on Professions, Traders, Callings and Employment;
SH (04) – Tax collections in Vijayawada Municipal Corporation Area

As per Sl.No.39 of First Schedule, the following categories are exempted:

Agriculturist, Persons engaged in performing religious duties, Skilled persons that is to say Gold
smith, Black smith, Pot Maker, Basket Maker, Washer man, Barber, Cobbler, Tailors, Carpenters,
Masons, Plumbers, Book Binders, Toddy Tappers and Electricians, Dry Cleaners. The physically
handicapped persons with 40% or more disability of any kind are also exempted.

As per G.O.Ms.No.511, Revenue (CT-III) dated 25-07-2001, the following are exempted:
(a) Minor children and house wives who are partners in a firm.
(b) Companies with NIL turnover.
(c) Sleeping partner and honorary directors who are are not drawing any salary or
honorarium.