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Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04 – Cover Page

(See Rule 12 of the Delhi Value Added Tax Rules, 2005)

Application for Registration under Delhi Value Added Tax Act, 2004

Checklist of Supporting Documents

Please tick as applicable

Mandatory Supporting Documents

Annexures of the Form duly filled in (in case any of the annexures is not applicable, please mention the same )

Proof of incorporation of the applicant dealer i.e. Copy of deed of constitution (partnership deed (if any), certificate of registration under the Societies Act, Trust deed, Memorandum and Articles of Association etc) duly certified by the authorised signatory

Proof of identity of authorised signatory signing the Registration Application Form

Two self addressed envelopes (Without stamps)

In case of a dealer applying for registration and simultaneously opting for payment of tax under composition scheme, please attach application in Form DVAT 01 along with this application

Proof of Security

Optional Supporting Documents (For reduction in Security Amount)

Proof of ownership of principle place of business

Proof of ownership of residential property by proprietor/ managing partner

Copy of passport of proprietor/ managing partner

Copy of Permanent Account Number in the name of the business allotted by the Income Tax Department

Copy of last electricity bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form)

Copy of last telephone bill (The bill should be in the name of the business and for the address specified as the main place of business in the registration form)

Reasons for Rejection (For Office Use Only)

Please tick as applicable

Not attached Mandatory Supporting Document(s)________________________________________________________

Other __________________________________________________________________________________________

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04

(See Rule 12 of the Delhi Value Added Tax Rules, 2005)

Application for Registration under Delhi Value Added Tax Act, 2004

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

Trade Name (if any)

Nature of Business

Manufacturer

Trader

Leasing

Works

Others (specify)

(Tick

all applicable)

_______________

Contractor

Constitution of Busines

Proprietorship

Private Ltd. Company

Public Sector Undertaking

(Tick

one as applicable)

Partnership

Government Company

Government Corporation

HUF

Public Ltd. Company

Govt Deptt/ Society/ Club/ Trust

Others, please specify

Type of Registration

Tick

one

Mandatory

Voluntary

5A. Opting for composition scheme under section 16(2) of the Act?

Tick one

Yes

Annual Turnover Category

Tick

one

Less than Rs. 5 lacs

Rs. 5 lacs or above

(a) Turnover in preceding financial year

Rs.

(b) Expected turnover in the current financial year

Rs.

7.Date from which liable for registration under Delhi Value Added Tax Act, 2004

Day

Month

Year

8.Permanent Account Number of the applicant dealer (PAN)

9.Registration number under Central Excise Act (if applicable)

10. Principle Place of Business

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

11.

Address for service of notice

Building Name/ Number

(If different from principle place of

Area/ Road

business)

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

12. Number of additional places of business within or outside the state

Godown / Warehouse

(also please complete Annexure II)

Factory

Shop

Other place(s) of business

13.

Details of main Bank Account

Account Number

MICR Number

Name of Bank

Address of Bank

14.

Details of investment in the business

Own Capital

(Rs.)

(details should be current as on date of

Loans from Banks

(Rs.)

application)

Other loans and borrowings

(Rs.)

Plant & Machinery

(Rs.)

Land & Building

(Rs.)

Other assets & investments

(Rs.)

15.

Description of top 5 items you deal or propose to deal in

Description of items

(1-highest volume to 5-lowest volume)

16.

Accounting Basis

Tick one

Accrual

Cash

17.

Frequency of filing of returns (to be filled in by the dealer whose turnover is less

Monthly

Quarterly

than Rs. 5 crores in the preceeding year)

Tick one

if applicable

18.

Security

(a) Amount of Security

Rs.

(b) Type of Security

Day

Month

Year

19.

Number of persons having interest in business

(also please complete Annexure I for each such person)

20.Number of managers

21.Number of authorised signatories

22.

Name of Manager

First Name

Middle Name

Surname

* if more than one manager, attach particulars for additional managers on a separate sheet

23.

Name of Authorised

First Name

Middle Name

Surname

Signatory*

* Please complete Annexure III

24. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is

true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

_______________________________________________________________

Full Name

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04: Annexure I

Passp

Particulars of person [proprietor/ karta/ partners/ directors in the business / Members of Executive Committee of

societies, clubs etc.] having interest in the business

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

2. Registration No*.

*This field is applicable when applying for amendment of registration in Form DVAT 07

3. Full Name of Person

(Provide in order of first name, middle name, surname)

4. Date of birth

5. Gender (tick one)	Male

Female

Father’s / Husband’s name

First Name

Middle Name

Surname

PAN :

8. Passport No.

E-mail address

10. Residential Address

(If different from principle place of

business)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

11. Permanent Address

(If different from residential address)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

12. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is

true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

_______________________________________________________________

Full Name (first name, middle, surname)

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04: Annexure II

Details of additional places of business

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

2. Registration No.

*This field is applicable when applying for amendment of registration in Form DVAT 07

3. Details of Additional Places of Business

(attach additional sheets if required)

Type

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

Date of establishment

Day

Month

Year

State local sales tax/VAT/CST registration number

(if place of business is situated outside Delhi)

Type

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

Date of establishment

Day

Month

Year

State local sales tax/VAT/CST registration number

(if place of business is situated outside Delhi)

Type

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

Date of establishment

Day

Month

Year

State local sales tax/VAT/CST registration number

(if place of business is situated outside Delhi)

Type

Godown / Warehouse

Factory

Shop

Other place of business

Address

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

Date of establishment

Day

Month

Year

State local sales tax/VAT/CST registration number

(if place of business is situated outside Delhi)

4. Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is

true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

_______________________________________________________________

Full Name (first name, middle, surname)

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04: Annexure III

Particulars of the authorised signatory

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

2. Registration No.

*This field is applicable when applying for amendment of registration in Form DVAT 07

3. Name of Authorised Signatory

(Provide in order of first name, middle name, surname)

4. Date of birth

5. Gender (tick one)	Male

Female

Father’s / Husband’s name

First Name

Middle Name

Surname

PAN :

8. Passport No.

E-mail address

10. Residential Address

(If different from principle place of

business)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

11. Permanent Address

(If different from residential address)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

12. Declaration

I/We ________________________________________________ hereby solemnly affirm and declare that the person named above is

authorised to act as an authorised signatory for the above referred business for which application for registration is being filed/ is registered under the Delhi VAT Act, 2004. All his actions in relation to this business will be binding on us.

S.No.

Full Name (First name, Middle Name, Surname)

Designation

Signature

13. Acceptance as an authorised signatory

I __________________________________________ hereby solemnly accord my acceptance to act as authorised signatory for the above

referred business and all my acts shall be binding on the business.

Signature of Authorised Signatory

_______________________________________________________________

Full Name (first name, middle, surname)

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Instructions for filling Registration Form (DVAT-04) (For details refer to Section 19 and Rule 12)

1.Please fill in all the details in CAPITAL letters.

2.Please note that you are mandatorily required to register if you:

(i)had turnover of more than Rupees 5 lakhs in the preceding financial year; or

(ii)exceed turnover of Rupees 5 lakhs in the current year; or

(iii)are liable to pay tax, or are registered or required to be registered under Central Sales Tax Act, 1956

3.Please note that irrespective of the quantum of turnover of the business, a dealer may apply for voluntary registration under the Delhi Value

Added Tax Act, 2004.

4. For field 3, an “importer” means -

(i)a person who brings his own goods into Delhi; or

(ii)a person on whose behalf another person brings goods into Delhi; or

(iii)in the case of a sale occurring in the circumstances referred to in sub-section 2 of section 6 of the Central Sales Tax Act, 1956, the person in Delhi to whom the goods are delivered

5.The application for registration under this Act should be filed within 30 days from the date of person becoming liable for payment of tax.

6.For field 8, if the business does not have a PAN, then please mark ‘Applied for’ or ‘N/A’ as applicable.

7.For field 15, please fill the description of top 5 items on the basis of value of goods sold.

8.In case any of these details change, the dealer is required to intimate the department of the amendments within one month of the change.

9.The form has to be filled and signed by the authorised signatory of the business.

10.Businesses with a turnover of more than Rs 5 crores are mandatorily required to file returns every month. Businesses with a turnover of less than Rs 5 crores are required to file returns every quarter. They may however, elect to file their returns every month.

11.Registration application should be verified and signed by the following:

(i)in the case of an individual, by the individual himself, and where the individual is absent from India, either by the individual or by some person duly authorised by him in this behalf and where the individual is mentally incapacitated from attending to his affairs, by his guardian or by any other person competent to act on his behalf;

(ii)in the case of a Hindu Undivided Family, by a Karta and where the Karta is absent from India or is mentally incapacitated from attending to his affairs, by any other adult member of such family;

(iii)in the case of a company or local authority, by the principle officer thereof;

(iv)in the case of a firm, by any partner thereof, not being a minor;

(v)in the case of any other association, by any member of the association or persons;

(vi)in the case of a trust, by the trustee or any trustee; and

(vii)in the case of any other person, by some person competent to act on his behalf.

Instructions for filling Registration Form (Annexures I, II and III)

1.In case of partnerships, Annexure I to be filled and signed by the managing partner plus top 4 other partners.

2.In case of companies, Annexure I to be filled and signed by the company secretary, the managing director and 3 other directors.

3.If required, make additional copies of the Annexures and attach with application form for registration (DVAT-04).

4.An amendment would be required each time a person changes (and not when the details of an existing person change)

5.In case of minors, the specimen signature of guardian/ trustee should be furnished.

6.In case of Annexure III, it is to be filled and signed by the person whose details are given in the Annexure.

7.Every sheet filled in the Annexures has to be signed by the same person (authorised signatory) who has signed the registration application.

8.In case any of the Annexures are not applicable, please strike off the same and write ‘Not Applicable’ on the said Annexure.

Method of Calculating Security Amount

Prescribed Security Amount		(Rs)	1,00,000

Reduction sought (Maximum reduction available Rs. 50,000)			Rebate (Rs)

1	Proof of ownership of principle place of business		30,000

2	Proof of ownership of residential property by proprietor/ managing partner		20,000

3	Copy of passport of proprietor/ managing partner		10,000

4	Copy of Permanent Account Number in the name of the business allotted by the Income Tax Department		10,000

5	Copy of last electricity bill (The bill should be in the name of the business and for the address specified as the		10,000
	main place of business in the registration form)

6	Copy of last telephone bill (The bill should be in the name of the business and for the address specified as the		5,000
	main place of business in the registration form)

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04A

(See Rule 5A of the Delhi Value Added Tax Rules, 2005)

Application for Registration by a Casual Trader under Delhi Value Added Tax Act, 2004

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

Trade Name (if any)

Constitution of Business

Proprietorship

Private Ltd. Company

Public Sector Undertaking

(Tick one as applicable)

Partnership

Government Company

Government Corporation

HUF

Public Ltd. Company

Govt Deptt/ Society/ Club/ Trust

Others, please specify

4.Permanent Account Number of the applicant dealer (PAN)

5.Registration number under Central Excise Act (if applicable)

6.Registration number under prevailing Sales tax / VAT law of the state where the principal place of business is situated (if applicable)

7.Principle Place of Business

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

8.Address in Delhi

(If different from principal place of

business)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email Id

Telephone Number

Fax Number

9.Description of top 3 items you propose to deal in (In order of volume of sales for the tax period. 1-highest volume to 3-lowest volume)

10.If you have been granted registration in Delhi, under this Act, as casual trader or otherwise at anytime prior to filing this application, please provide registration number for the last such registration granted to you and year in which it was granted

Not Applicable

(registration number)

11.Period for which registration required

From

12. Estimated Turnover of sales during the period for

Turnover of Sales (Rs.)

Output Tax (Rs.)

which registration is sought

(i) Goods taxable at 1%

(ii)

Goods taxable at 4%

(iii)

Goods taxable at 12.5%

(iv) Goods taxable at 20%

Total

Name of Manager

First Name

Middle Name

Surname

13.

Verification

I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is

true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised Signatory

_______________________________________________________________

Full Name (first name, middle, surname)

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Department of Value Added Tax

Government of NCT of Delhi

Form DVAT 04A: Annexure I

Particulars of the authorised signatory

1. Full Name of Applicant Dealer

(For individuals, provide in order of first name, middle name, surname)

2. Name of Authorised Signatory

(Provide in order of first name, middle name, surname)

3. Date of birth

4. Gender (tick one)	Male

Female

Father’s / Husband’s name

First Name

Middle Name

Surname

PAN :

7. Passport No.

E-mail address

9. Address in Delhi

(If different from principle place of

business)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

10. Permanent Address

(If different from residential address)

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Telephone Number

Fax Number

11. Declaration

I/We ________________________________________________ hereby solemnly affirm and declare that the person named above is

authorised to act as an authorised signatory for the above referred business for which application for registration is being filed/ is registered under the Delhi Value Added Tax Act, 2004. All his actions in relation to this business will be binding on us.

S.No.

Full Name (First name, Middle Name, Surname)

Designation

Signature

12. Acceptance as an authorised signatory

I __________________________________________ hereby solemnly accord my acceptance to act as authorised signatory for the above

referred business and all my acts shall be binding on the business.

Signature of Authorised Signatory

_______________________________________________________________

Full Name (first name, middle, surname)

_______________________________________________________________

Designation

_______________________________________________________________

Place

Date

Day

Month

Year

Instructions for filling Registration Form (DVAT-04A) (For details refer to Section 16A and Rule 5A)

1.Please fill in all the details in CAPITAL letters.

2.The form has to be filled and signed by the authorised signatory of the business.

3.Registration application should be verified and signed by the following:

(ii)in the case of a Hindu Undivided Family, by a Karta and where the Karta is absent from India or is mentally incapacitated from attending to his affairs, by any other adult member of such family;

(iii)in the case of a company or local authority, by the principle officer thereof;

(iv)in the case of a firm, by any partner thereof, not being a minor;

(v)in the case of any other association, by any member of the association or persons;

(vi)in the case of a trust, by the trustee or any trustee; and

(vii)in the case of any other person, by some person competent to act on his behalf.

4.Every sheet filled in the Annexure has to be signed by the same person (authorised signatory) who has signed the registration application.

Question	Answer
Form Name	Form Dvat 04
Form Length	17 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	4 min 15 sec
Other names	65d4122b auto fill dvat 04 form

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