FORM GST ENR-01
[See rule 58(1)]
Application for Enrolment under section 35 (2)
[only for un-registered persons]

1. Name of the State  
2. (a) Legal name  
  (b) Trade Name, if any  
  (c) PAN  
  (d) Aadhaar (applicable in case of proprietorship concerns only)  

3.

 Type of enrolment
(i) Warehouse or Depot   (ii) Godown  
(iii) Transport services   (iv) Cold Storage  

4.

 Constitution of Business (Please Select the Appropriate)
(i) Proprietorship or HUF   (ii) Partnership  
(iii) Company   (iv) Others  

5.

 Particulars of Principal Place of Business

(a)

 Address
Building No. or Flat No.   Floor No  
Name of the Premises or Building   Road or Street  
City or Town or Locality or Village   Taluka or Block  
District      
State   PIN Code  
Latitude   Longitude  

(b)

 Contact Information (the email address and mobile number will be used for authentication)
Email Address   Telephone STD  
Mobile Number   Fax STD  

(c)

 Nature of premises

Own

Leased

Rented

Consent

Shared

Others (specify)

6.

 Details of additional place of business – Add for additional place(s) of business, if any(Fill up the same information as in item 5 [(a), (b), and (c)]

7.

 Consent

I on behalf of the holder of Aadhaar number 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.
8. List of documents uploaded
(Identity and address proof)
9. 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.

Place:                                                                                                                                                                                        Signature
Date:                                                                                                                                                                       Name of Authorised Signatory
For Office Use:
Enrolment no Date-