APPLICATION FOR BUSINESS ASSOCIATES

Name of the applicatnt : _________________________________________

Age : _________________________________________

Father’s Name : _________________________________________

Qualification : _________________________________________

Residential Address : _________________________________________

Name of the Firm : _________________________________________

Address of the premises : _________________________________________

: _________________________________________

PAN No. : _________________________________________

Service Tax No. (ST-2) : _________________________________________

(Attached Photocopy of the same) : _________________________________________

Bank Name : _________________________________________

Account No. : _________________________________________

Under City : _________________________________________

Office Area(Sq.ft.) : _________________________________________

Rent agreement (Photo copy) : _________________________________________

Contact no./ E.mail Id. : _________________________________________

Security Deposit Amount : _________________________________________

CH/DD. No (Issue Bank name & Branch) : _________________________________________

Cash Receipt No. : _________________________________________

(Accepted that the information furnished above is correct to the best of my knowledge and belief.)

Date :
Place : New Delhi
(Signature of the Applicant)

(Signature of Director) (Approved By)

Note : - In case of change address of business please inform H.O. as well as to service tax department also. In
case of change of Telephone no. please intimate H.O. immediately in writing.