Form GST REG-10
[See rule 14(1)]
Application for registration of person supplying online information and data base access or retrieval services from a place outside India to a person in India, other than a registered person.
Part -A
(i) | Legal name of the person | |
(ii) | Tax identification number or unique number on the basis of which the entity is identified by the Government of that country | |
(iii) | Name of the Authorised Signatory | |
(iv) | Email Address of the Authorised Signatory | |
(v) | Name of the representative appointed in India, if any | |
(a) Permanent Account Number of the representative in India | ||
(b) Email Address of the representative in India | ||
(c) Mobile Number of the representative in India (+91) | ||
Note- Relevant information submitted above is subject to online verification, where practicable, before proceeding to fill up Part-B. |
Part -B
1 | Details of Authorised Signatory | ||||
First Name | Middle Name | Last Name | |||
Photo | |||||
Gender | Male / Female / Others | ||||
Designation | |||||
Date of Birth | |||||
Father's Name | |||||
Nationality | |||||
Aadhaar, if any | |||||
Address of the Authorised Signatory | Address line 1 | ||||
Address line 2 | |||||
Address line 3 | |||||
2 | Date of commencement of the online service in India. | DD/MM/YYYY | |||
3 |
Uniform Resource Locators (URLs) of the
website through which taxable services are provided. |
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4 | Jurisdiction |
Center
Bengaluru West, CGST |
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5 | Details of Bank Account of representative in India(if appointed) | ||||
Account Number | Type of account | ||||
Bank Name | Branch Address | Type of account | |||
6 |
Documents Uploaded A customized list of documents required to be uploaded (refer Instruction) as per the field values in the form |
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7 |
Declaration 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. I, _ ...................................... hereby declare that I am authorised to sign on behalf of the Registrant. I would charge and collect tax liable from the non-assesse online recipient located in taxable territory and deposit the same with Government of India. Signature Place: Name of Authorised Signatory: Date: Designation: |
Note: Applicant will require to upload declaration (as per under mentioned
format) along with scanned copy of the passport and photograph.
List of documents to be uploaded as evidence are as follows:-
1 |
Proof of Place of Business of representative in India, if any:
(a) For
own premises -
(b) For
Rented or Leased premises -
(c) For
premises not covered in (a) and (b) above - |
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2 |
Proof of : Scanned copy of License is issued by origin country Scanned copy of Clearance certificate issued by Government. |
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3 |
Bank Account Related Proof: Scanned copy of the first page of Bank passbook / one page of Bank Statement Opening page of the Bank Passbook held in the name of the Proprietor Business Concern - containing the Account No., Name of the Account Holder, MICR and IFSC and Branch details. |
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4 | Scanned copy of documents regarding appointment as representative in India, if applicable | ||
5 |
Authorisation Form:- For Authorised Signatory mentioned in the application form, Authorisation or copy of Resolution of the Managing Committee or Board of Directors to be filed in the following format: Declaration for Authorised Signatory (Separate for each signatory) I —(Managing Director/Whole Time Director/CEO or Power of Attorney holder) hereby solemnly affirm and declare that <<name of the authorised signatory>> to act as an authorised signatory for the business << Name of the Business>> for which application for registration is being filed/ is registered under the Central Goods and Service Tax Act, 2017.
All his actions in relation to this
business will be binding on me/ us. |
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I <<(Name of authorised signatory>> 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 Place (Name) Date: Designation/Status |
Instructions -1. If authorised signatory is not based in India,
authentication through digital signature certificate shall not be mandatory
for such persons. The authentication will be done through Electronic
Verification Code (EVC).
2. Appointed representative in India shall have the meaning as
specified under section 14 of Integrated Goods and Services Tax Act, 2017.