Bihar Shops & Establishments Rules, 1995

Application For Registration - Form No - 1 (Rule 3)

Fields marked with " * " are mandatory

Application Processing Location

District Office Name *

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Sub Division *

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Establishment Details

Name of the Establishment *

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Full postal address of the Establishment

Type of the Establishment *

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If Others, Please Specify

District *

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Block/Circle

Location of the Establishment (including the number of holding / ward and the name of the police station in which it is situated)

Pincode *

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Opening Date of Establishment *

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Whether the Establishment is registered under the Bihar Sales Tax Act 1947(Now Bihar Finance Act, 1981) *

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Registration Number *

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Date *

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Is it a Firm / Private Entity : *

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Maximum Number of persons proposed to be employed on any day during the calender year in which this application is filed

Adult (Male and Female) *

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Young Person (Male and Female) *

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Children (Male and Female) *

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Number of Employer's Family *

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Final Fee

Particulars of Person having Interests in the Establishment as the Employer

Particular of person having Interest in the Establishment as the Employer

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Serial No.

Name and Parcentage

Designation

Permanent Address

Pincode

Name of Interest

Employer Details (Manager,Agent or any other person) who is in the immediate charge of the general management or control of the establishment

Name of the Employer *

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Permanent Address *

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Designation of Employer *

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Mobile Number *

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Email Id *

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Pincode

Declaration

I hereby declare that to the best of my knowledge and belief the particulars given above are true

I Agree *

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