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 succeded 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 
Visual verification

Enter the code shown above:
 
(Note: If the code image is not visible, 
click on 'Refresh button to get the new code)
   
   
2010 National Informatics Centre