Amendment status not verified — confirm the current text below against the official source.
Names and addresses of other places of work in Madhya Pradesh. .......................... The above statements are true to the best of my knowledge and belief. Place.......................... Signature................................. Date.......................... Status....................................... *Strike out whichever is not applicable PART - IV PROFESSIONAL TAX RULES, 1995 329 ACKNOWLEDGEMENT (Particulars of name and address to be filled in by the applicant) Received an application for registration in Form - 1. From :- Name of the applicant........................... Full postal address............................... Place.......................... ....................................... Date........................... Signature of the receiving officer _______________ FORM – 2 (See rule 3(3)) Certificate of registration (for employers) No.________________ This is to certify that the proprietor/partner /principal/officer/agent/manager/head of the office of the establishment/firm/club/association/society/corporation/company known as __________and located at ______has been registered as an employer under the Madhya Pradesh Vritti Kar Adhiniyam, 1995. The holder of the certificate has additional place of work at the following address :- 1.___________________ 2.___________________ 3.___________________ Seal; Place.......................... Signature................................. Date.......................... Status....................................... FORM - 3 [See rule 3(2)] Application for certificate of registration (for persons) To, The Profession Tax Assessing Authority ............................................................ I, hereby apply for a certificate of registration under the Madhya Pradesh Vritti Kar Adhiniyam, 1995 as per particulars given below :-