Government of Goa
 Commercial Taxes Department
 FORM VAT - I
Application for VAT Registration
Dealer Personal Details
Select Ward Office*
Type of Registration*                             Applicant Status
Name of the Applicant*
Father's/ Mother's/ Husband's Name  
Date of Birth/ Incorporation/ Constitution                      Sex( M or F)
Challan No. *                   
Challan Date*          Amount (Rs.)*
Name & Style of Business*
Principal Place of Business
Address Type
Address *
 
District *                                             Taluka *
PIN Code         
Contact Details
Telephone                                Mobile No *
Fax Number  
Email Address        
Residential Address 
Address  
 
 
District                            State 
PIN Code
Business Details
Aadhaar No.
Constitution of Business*
Nature of Business*
Permanant Account Number of the business under Income Tax Act (PAN) *  
Name of the Statutory Authority with whom already registered 
Turnover of sales during the year [YYYYYY]
Turnover Amount  
Turnover exceeded the limit (provided under Section 3) on
The Business is succeeded from the Dealer
Business succeeded with effect from
TIN of the dealer from whom the Business is succeded  
Date of Commencement of Business
Enclosure Details
Accounting Period
 Enclosures
Major Commodity Details
 Select Commodity  
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