Form GST ENR-01 (Application for Enrolment )

Form GST ENR-01

[See rule 58(1)]

Appli­ca­tion for Enrol­ment u/s 35 (2) [only for un-reg­is­tered persons]

1.	(a) Legal name
	(b) Trade Name, if any
	© PAN
	(d) Aad­haar (applic­a­ble in case of pro­pri­etor­ship con­cerns only)
2.	Type of enrolment
	Trans­porter               Godown own­er /operator                  Ware­house own­er /operator       Cold stor­age own­er /operator
3.	Con­sti­tu­tion of Busi­ness (Please Select the Appropriate)
(i) Pro­pri­etor­ship				□	(ii) Part­ner­ship					□
(iii) Hin­du Undi­vid­ed Family				□	(iv)  Pri­vate Lim­it­ed Company					□
(v) Pub­lic Lim­it­ed Company				□	(vi) Society/Club/Trust/Association of Persons					□
(vii) Gov­ern­ment Department				□	(viii) Pub­lic Sec­tor Undertaking					□
(ix) Unlim­it­ed Company				□	(x) Lim­it­ed Lia­bil­i­ty Partnership					□
(xi) Local Authority				□	(xii) Statu­to­ry Body					□
(xiii)    For­eign    Lim­it­ed    Lia­bil­i­ty Partnership				□	(xiv) For­eign Com­pa­ny Reg­is­tered (in India)					□
(xv)  Oth­ers (Please specify)				□						□
4.		Name of the State					Dis­trict
5.		Juris­dic­tion detail
		Cen­tre					State
6.		Date of com­mence­ment of business
7.		Par­tic­u­lars of  Prin­ci­pal Place of Business
(a)		Address
Build­ing No./Flat No.						Floor No.
Name of the Premises/Building						Road/Street
City/Town/Locality/Village						Dis­trict
Taluka/Block
State						PIN Code
Lat­i­tude						Lon­gi­tude
(b)		Con­tact Information

 

Office Email Address

Office Tele­phone number

STD

Mobile Num­ber

Office Fax Number

STD

©

Nature of premises

Own

Leased

Rent­ed

Con­sent

Shared

Oth­ers (spec­i­fy)

(d)

Nature of busi­ness activ­i­ty being car­ried out at above men­tioned premis­es (Please tick applicable)

Warehouse/Depot

□

Godown

□

Retail Busi­ness

Office/ Sale Office

□

Cold Stor­age

□

Trans­port services

Oth­ers (Spec­i­fy)

□

8.

Details of addi­tion­al place of business

Add for addi­tion­al place(s) of busi­ness, if any (Fill up the same infor­ma­tion as in item 7 [(a), (b), © & (d)]

9.

Details of Bank Accounts (s)

 

 

Details of Bank Account 1

Account Num­ber

Type of Account

IFSC

Bank Name

Branch Address

To be auto-pop­u­lat­ed (Edit mode)

Note – Add more accounts ——

 

 

Par­tic­u­lars	First Name		Mid­dle Name	Last Name
Name
Pho­to
Name of Father
Date of Birth	DD/MM/YYYY		Gen­der	<Male, Female, Other>
Mobile Num­ber			Email address
Tele­phone No. with STD
Des­ig­na­tion /Status		Direc­tor Iden­ti­fi­ca­tion Num­ber (if any)

 

PAN		Aad­haar Number
Are you a cit­i­zen of India?	Yes / No	Pass­port No. (in case of foreigners)
Res­i­den­tial Address
Build­ing No/Flat No		Floor No
Name of the Premises/Building		Road/Street
City/Town/Locality/Village		Dis­trict
Block/Taluka
State		PIN Code
Coun­try (in case of for­eign­er only)		ZIP code

 

 

 

Par­tic­u­lars	First Name	Mid­dle Name		Last Name
Name
Pho­to
Name of Father
Date of Birth	DD/MM/YYYY	Gen­der		<Male, Female, Other>
Mobile Num­ber		Email address
Tele­phone No. with STD
Des­ig­na­tion /Status			Direc­tor Iden­ti­fi­ca­tion Num­ber (if any)
PAN			Aad­haar Number
Are you a cit­i­zen of India?	Yes / No		Pass­port No. (in case of foreigners)

 

Res­i­den­tial Address in India
Build­ing No/Flat No		Floor No
Name of the Premises/Building		Road/Street
Block/Taluka
City/Town/Locality/Village		Dis­trict
State		PIN Code

 

12.

Con­sent

I on behalf of the hold­er of Aad­haar num­ber <pre-filled based on Aad­haar num­ber pro­vid­ed in the form> give con­sent to “Goods and Ser­vices Tax Net­work” to obtain my details from UIDAI for the pur­pose of authen­ti­ca­tion. “Goods and Ser­vices Tax Net­work” has informed me that iden­ti­ty infor­ma­tion would only be used for val­i­dat­ing iden­ti­ty of the Aad­haar hold­er and will be shared with Cen­tral Iden­ti­ties Data Repos­i­to­ry only for the pur­pose of authentication.

 

13. List of doc­u­ments uploaded (Iden­ti­ty and address proof)
14. Ver­i­fi­ca­tion

I here­by solemn­ly affirm and declare that the infor­ma­tion giv­en here­in above is true and cor­rect to the best of my knowl­edge and belief and noth­ing has been con­cealed therefrom.

 

 

Sig­na­ture

 

 

Place:                                                               Name of Autho­rised Signatory

….……………………

Date:

Designation/Status……………………………………

 

 

For office use –

Enrol­ment no. — Date -

Down­load Form GST ENR-01 in Word Formats