State of Madhya Pradesh - Act
The M.P. Vilasita, Manoranjan, Amod Evam Vigyapan Kar Niyam, 2011
MADHYA PRADESH
India
India
The M.P. Vilasita, Manoranjan, Amod Evam Vigyapan Kar Niyam, 2011
Rule THE-M-P-VILASITA-MANORANJAN-AMOD-EVAM-VIGYAPAN-KAR-NIYAM-2011 of 2011
- Published on 1 April 2011
- Commenced on 1 April 2011
- [This is the version of this document from 1 April 2011.]
- [Note: The original publication document is not available and this content could not be verified.]
1. Short title.
- These rules may be called the Madhya Pradesh Vilasita, Manoranjan, Amod Evam Vigyapan Kar Niyam, 2011.2. Definitions.
- In these rules, unless the context otherwise requires,-3. Rate of charges per day for the purpose of sub-clause (i) of clause (k) of sub-section (1) of Section 2.
- Rate of charges per day for the purpose of sub-clause (i) of clause (k) of sub-section (1) of Section 2 shall be rupees two thousand.4. Initiation of proceedings for determination of liability.
5. Maintenance of accounts by a hotelier.
6. Maintenance of accounts by a proprietor of Cinema Hall.
7. Maintenance of accounts by a proprietor of Cable service.
8. Maintenance of accounts by a proprietor of DTH service.
9. Maintenance of accounts by a proprietor of Telecom service.
10. Maintenance of accounts by a proprietor of Luxuries.
11. Maintenance of accounts by a proprietor in relation to advertisements exhibited.
12. Furnishing of returns.
13. Payment of tax.
14. Form of order of assessment.
- The order of assessment and/or penalty shall be in Form XXVIII.15. Form of notice of demand.
- The notice of demand shall be in Form XXIX.16. Grant of registration certificate.
17. Repeal.
- The Madhya Pradesh Hotel Tatha Vas Grihon Me Vilas Vasluon Par Kar Niyam, 1988, the Madhya Pradesh Entertainments Duly and Advertisement Tax Rules, 1942, the Madhya Pradesh Cable Television Network (Exhibition) Rules, 1999 and the Madhya Pradesh Ke Cinemagrahon Ke Sudhar Evam Adhunikikaran Ke Liye Protsathan Yojna Niyam, 2006 are hereby repealed :Provided that such repeal shall not affect the previous operation of the said rules or anything done or any action taken thereunder.Form - I[See Rule 4 (1)]Notice under sub-section (1) of Section 4 of the Madhya Pradesh Vilasita, Manoranjan, Amod Evam Vigyapan Kar Adhiniyam, 2011.To,Name .........................Address ......................TIN ......................... (if any)A proceeding to determine the tax liability under sub-section (2) of Section 4 of the Madhya Pradesh Vilasita, Manoranjan, Amod Evam Vigyapan Kar Adhiniyam, 2011 has been instituted against you. you are hereby required to produce before me the documents, accounts relating to your business and reply, if any, and/or furnish me with the following information at ...................... (place) on ...................... (date) ...................... (time) for the period from ...................... to ......................................................................................................................................................................................................| Seal | Signature ............................ |
| Date ............................ | Designation ........................ |
| Date of Order | ........................................................................ |
| Name and address of Hotelier or* Proprietor | ........................................................................ |
| TIN (if any) | ........................................................................ |
| Date from which liable to pay tax under the | ........................................................................ |
| Madhya Pradesh Vilasita, Manoranjan, Amod | ........................................................................ |
| Evam Vigyapan Kar Adhiniyam, 2011. | ........................................................................ |
| Seal | (Signed) ........................ |
| Date ............................ | Designation ........................ |
| 1. | Name of Hotel | ........................................................................ |
| 2. | Address of the Hotel | ........................................................................ |
| 3. | Name of the proprietor | ........................................................................ |
| 4. | Name of the Managing Director/ Manager | ........................................................................ |
| 5. | TIN | ........................................................................ |
| 6. | Accommodation capacity and charge | ........................................................................ |
| Room | No. of beds | Charge |
| Type Single/ Double/ Suite/ others | Number | |
| (1) | (2) | (3) |
| Total |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| S.No. | Name of guest | Permanent Address | Age |
| (1) | (2) | (3) | (4) |
| Nationality | Class | Rate of charges for accommodation for residenceper day | Arrival date, Time |
| (5) | (6) | (7) | (8) |
| Departure date, Time | Period of stay of each guest | Total amount of charges for accommodation forresidence | Charges paid by guest |
| (9) | (10) | (11) | (12) |
| No. of guests who occupied the room oraccommodation in hotel | No. and date of bill/ cash memo | Amount of tax collected | Remarks |
| (13) | (14) | (15) | (16) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| Month | Total number of guests | Total charges recovered for accommodation for residence | Total tax collected |
| (1) | (2) | (3) | (4) |
| Tax Paid | Remarks | ||
| Amount | Challan No. and date | Balance | |
| (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Cinema Hall | ........................................................................ |
| 2. | Address of the Cinema Hall | ........................................................................ |
| 3. | Name of the proprietor | ........................................................................ |
| 4. | Name of the Manager | ........................................................................ |
| 5. | TIN | ........................................................................ |
| 6. | Number of screens | ........................................................................ |
| 7. | Seating capacity and charge | ........................................................................ |
| (details be given screen wise, if more than single screen) |
| Class | Number of seats | Rate | Number of shows permitted |
| (1) | (2) | (3) | (4) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Cinema Hall | ........................................................................ |
| 2. | Address of the Cinema Hall | ........................................................................ |
| 3. | Name of the proprietor | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Date & show time | Class | Number of seats occupied | Rate | Receipts | Tax payable |
| (1) | (2) | (3) | (4) | (3) | (6) |
| Total |
| Place................................... | Signature .......................................... |
| Date .................................... | Name and Designation .................. |
| 1. | Name of Cinema Hall | ........................................................................ |
| 2. | Address of the Cinema Hall | ........................................................................ |
| 3. | Name of the proprietor | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Month | Total receipts | Total tax collected | Tax paid | Challan No. and date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| Name and address of Cable | ........................................................................ | |
| Television Network*/ DTH Service | ........................................................................ | |
| Provider | ........................................................................ | |
| TIN | ........................................................................ | |
| Subscriber Identity No. | ........................................................................ | |
| Date of Issue | ........................................................................ | |
| 1. | Name of subscriber | ........................................................................ |
| 2. | Full address of subscriber | ........................................................................ |
| House No. | ........................................................................ | |
| Waid/ Mohalla | ........................................................................ | |
| Town | ........................................................................ | |
| District | ........................................................................ | |
| 3. | Amount of service/ subscription charge | ........................................................................ |
| 4. | Signature of subscriber | ........................................................................ |
| 5. | Signature of Proprietor or Manager | ........................................................................ |
| Name of proprietor | ........................................................................ |
| Details of service | ........................................................................ |
| TIN | ........................................................................ |
| S. No. | Subscriber Identity No. | Name and address of subscriber | Name of service provided | Charge | Date from which service provided | Other details |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| Name of proprietor | ........................................................................ |
| Details of service | ........................................................................ |
| TIN | ........................................................................ |
| Month | Total number of subscribers | Total charges received for the service provided | Total tax collected | Tax paid | Challan No. & Date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of DTH service | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Name of entertainment package | Charge | Remarks |
| (1) | (2) | (3) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of DTH service | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| S. No. | Subscriber Identity No. | Name and address of subscriber | Name of service provided | Charge | Date from which service provided | Other details |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of DTH service | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Month | Total number of subscribers | Total charges received for the service provided | Total tax collected | Tax paid | Challan No. & Date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Telecom service provider | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Name of entertainment | Charge | Remarks |
| (1) | (2) | (3) |
| Ring tones | ||
| Music | ||
| Videos | ||
| Movies | ||
| Animations | ||
| Games | ||
| Jokes | ||
| Contest | ||
| ......... |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Telecom service provider | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| S. No. | Telephone No. | Name and address of subscriber | Name of service provided | Charge | Date from which service provided | Other details |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Telecom service provider | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Month | Total number of subscribers | Total charges received for the service provided | Total tax collected | Tax paid | Challan No. & Date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Marriage Hall/ Caterer | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| S. No. | Date | Name and address of customer | Name of Luxury provided | Receipt | Tax collected | Other details |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| 1. | Name of Marriage Hall/ Caterer | ........................................................................ |
| 2. | Name of the proprietor | ........................................................................ |
| 3. | Name of the Manager | ........................................................................ |
| 4. | TIN | ........................................................................ |
| Month | Total number of customers | Total charges received for the service provided | Total tax collected | Tax paid | Challan No. & Date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| S.No. | Date from which advertisement exhibited | Type of advertisement | Name and address of advertiser | Receipts | Tax collected | Other details |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| Month | Total number of advertisements | Total charges received for the advertisementsexhibited | Total tax collected | Tax paid | Challan No. & Date | Balance | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) | (7) | (8) |
| Place................................... | Signature ............................. |
| Date .................................... | Name ................................... |
| Designation ......................... |
| Part-A : Hotelier's/*Proprietor's details | ||||
| Name and address of Hotelier/ *Proprietor (Affix seal) | ||||
| TIN | ||||
| Period | From ...................... To ...................... | |||
| Reasons for filling revised returns (in case the return beingfilled is a revised return) | ||||
| Part-B : Turnover | ||||
| 1. | Actual receipts during the period* | |||
| 2. | Deemed receipts of concessions given on normal rates duringthe period | |||
| 3. | Tax collected under the Act | |||
| 4. | Total turnover (1+2+3) | |||
| * in case of proprietor of DTH/ Telecom service, theinformation in Part-I be given. | ||||
| Part-C : Deductions | ||||
| 1. | Receipts of rooms for which the rates of charge are less thanrupees 2000 per day. | |||
| 2. | Receipts on which tax is payable under VAT Act, being supplyof food and drink | |||
| 3. | Tax collected under the Act | |||
| 4. | Any other deduction | |||
| 5. | Total of deductions (1 to 4) | |||
| 6. | Taxable turnover (B 4-5) | |||
| Part-D : Taxable turnover and tax payable | ||||
| {| | ||||
| Name of activity | Rate of tax | Taxable Turnover | Tax Payable | |
| 1. | Luxury provided in a hotel | 10% | ||
| 2. | Other luxury | 10% | ||
| 3. | Advertisement | 10% | ||
| 4. | Entertainment | 20% | ||
| Total |
| Challan number | Challan date | Amount | |
| Total |
| S. No. | No. of subscribers | Name of service provided | Charges received | Tax collected | Remarks |
| (1) | (2) | (3) | (4) | (5) | (6) |
| Place................................... | Signature of |
| Date .................................... | Hotelier/ *Proprietor .................... |
| Return Form XXII Receipt Number ................... | Date : / / |
| Quarter ............. of F.Y. ............ TIN................... |
| Quarter/ month | of | TIN |
| F.Y. |
| Return for the period | DD | MM | YYYY | To | DD | MM | YYYY |
| E-filing | Date | DD | MM | YYYY |
| 1. | Total turnover |
| 2. | Deductions |
| 3. | Taxable turnover (1-2) |
| 4. | Tax payable |
| 5. | Add-excess of tax collected during the period, to tax payable(if any) |
| 6. | Interest for Late Payment (if any) |
| 7. | Total amount payable (4+5+6) |
| 8. | Total payments by challans |
| 9. | Total of other credits |
| 10. | Total credit (X+9) |
| 11. | Credit for this quarter |
| 12. | Credit carried over to next quarter |
| Return verification form for the quarter/ | |
| month of F.Y.Submitted on : / / | Signature of Receiving Official(Employee id:...........) |
| Entered into application software on: / / | Signature of Data Entry Official(Employee id :........... ) |
| By whom tendered | Name and address of the hotelier or proprietor onwhose behalf money is paid and TIN (if any) | Payment on account | Amount (to be entered in figures) |
| (1) | (2) | (3) | (4) |
| (a) Tax according to return forperiod from........to.........(b) Tax demanded after assessmentfor the year...............case No. .............. assessedby.........(c) Interest(d) Penalty(e) MiscellaneousTotal Rs. (in figures) | |||
| Total Rs. (in words) |
1. Received payment of Rs..........................(in figures) Rs...............................................................(in words)
2. Date of entry......................Challan No..........................
| Treasurer | Accountant | Treasury Officer/Agent or Manager |
| TIN :(Tax Payers Identification Number) | Hotelier's Name :Address : |
| Name of Act : | Assessment/Concerning Year : |
| Name & Code of the Bank : | Name & Code of the Branch : |
| Challan No. : (For MPCTD) | Date of Transaction :Time of Transaction : |
| Assessment/Concerning Period : | Purpose of payment : |
| Amount (In figures) : | Amount (In words) |
| (Not for MPCTD Purpose)CIN No. (Challan IdentificationNumber) :Bank Reference No. |
| By whom tendered | Name and address of the hotelier or proprietor onwhose behalf money is paid and TIN (if any) | Payment on account | Amount (to be entered in figures) |
| (1) | (2) | (3) | (4) |
| (a) Tax according to return forperiod from........to.........(b) Tax demanded after assessmentfor the year...............case No. .............. assessedby.........(c) Interest(d) Penalty(e) MiscellaneousTotal Rs. (in figures) | |||
| Total Rs. (in words) |
1. Received payment of Rs......................................(in figures)
Rs...............................................................(in words)2. Date of entry......................Challan No............................
| Treasurer | Accountant | Treasury Officer/Agent or Manager |
| TIN :(Tax Payers Identification Number) | Proprietor's Name :Address : |
| Name of Act : | Assessment/Concerning Year : |
| Name & Code of the Bank : | Name & Code of the Branch : |
| Challan No. : (For MPCTD) | Date of Transaction :Time of Transaction : |
| Assessment/Concerning Period : | Purpose of payment : |
| Amount (In figures) : | Amount (In words) |
| (Not for MPCTD Purpose)CIN No. (Challan IdentificationNumber) :Bank Reference No. |
| Case Number | |
| Period of assessment | |
| Name and Address of Hotelier */Proprietor | |
| TIN | |
| Name of Assessing Officer and designation | |
| Office | |
| Date of Order | |
| Selection with sub-section under which assessment made and/orpenalty imposed. |
| Part A | |||
| Description | As per return | As per Computation | Determined |
| 1 | Gross Turnover (GTO) | |
| [Total of subhead (i) to (iii)] | ||
| (i) | Actual receipts during the period | |
| (ii) | Deemed receipts of concessions allowed/ given on normal ratesduring the period. | |
| (iii) | Tax collected under the Act | |
| 2 | Less deductions in respect of- | |
| [Total of subhead (i) to (v)] | ||
| (i) | Receipts of tariff, of rooms for which the tariff rates areless than rupees 2000 per day | |
| (ii) | Receipts on which tax is payable under Vat Act. being supplyof food and drink | |
| (iii) | Receipts of tariff, of rooms for which the tariff rates ateless than rupees 2000 per day | |
| (iv) | Tax collected under the Act | |
| (v) | Any other deduction | |
| 3 | Taxable Turnover (1-2) | |
| Part B : Computation of tax under Section 6 payable onTaxable Turnover (box 3 of Part A) |
| Name of activity | Rate of Tax | Taxable Turnover | Tax Determined | |||
| As per return | As per Computation | Determined | ||||
| 1 | Luxury provided in a hotel | 10.00% | ||||
| 2 | Other luxury | 10.00% | ||||
| 3 | Advertisement | 10.00% | ||||
| 4 | Entertainment | 20.00% | ||||
| Total |
| Part C : Interest for Late Payment | |
| Interest as per return/computation | Interest levied |
| Part D : Penalty imposed | |
| Under Section | Penalty imposed |
| Total | |
| Part E : Details of payments by challans |
| Challan number | Challan date | Amount |
| Total | ||
| Part F : Other credits | ||
| 1 Credits of excess payments in previous quarter | ||
| 2 Any other credit | ||
| 3 Total (1+2) | ||
| Part G : Adjustments | ||
| 1. Total amount payable (B + C+D) | ||
| 2. Total payments by challans (E) | ||
| 3. Total of other credits (F-3) | ||
| 4. Total credit (2+3) | ||
| 5. Balance Payable/Refundable | ||
| Pay by Date | Within 30 days of receipt of Order | |
| Pay at | Madhya Pradesh.........Treasury. |
2. This *tax/*penalty/*interest includes Rs.........................../..........................already by you towards tax/*penalty/*interest and the balance is Rs.............
3. You are hereby directed lo pay the sum of Rs................................. (in figures) Rs.......................(in words) only into the Government Treasury at on or before (date)..... and to produce the copy of the Challan in Form XXIV/*Form XXVI or e-Receipt in Form XXV/*Form XXVII in proof of payment before the undersigned not later than the...................day of.............. failling which the said sum of Rs........................... (in figures) Rs....................(in words) only shall be recovered from you as an arrear of hind revenue.
4. A copy of the assessment order/*order imposing penalty is attached.
SealDate............................Signed..................Designation....................*Strike out whichever is not applicable.Form - XXX[See Rule 16 (1)]Application for grant of registration certificateFor Office UseTIN allottedTo,..................(designation)....................................CircleI request to grant registration and issue a registration certificate for my firm/organization named..........................................under the Madhya Pradesh Vilasita, Manoranjan, Amod Evam Vigyapan Kar Adhiniyam, 2011. The particulars of my firm/organisation are given below:-Part-A : Basic Information| 1 | Name of Firm/Organization | ||
| 2 | Full Address of Firm/Organization | House No.: | |
| Street/Complex: | |||
| Village/Mohallah: | Town/City: | ||
| District: | Ward No.: | ||
| Pin | Landmark- | ||
| Phone No.: (O) | (R) | ||
| Mobile No.: | Fax No.: | ||
| Email: | |||
| Website/URL: | |||
| 3 | Status of Firm/Organization | A- Proprietorship | |
| B- Partnership | |||
| C- Private Limited | |||
| D- Limited Company | |||
| E- Stale Government Department | |||
| F- State Government Undertaking | |||
| G- Central Government Department | |||
| H- Central Government Undertaking | |||
| I- Co-operative society | |||
| J- HUF | |||
| K- Any other (mention details) | |||
| 4 | Full Address of Principal place of business | House No.: | |
| Street/Complex: | |||
| Village/Mohallah: | Town/City: | ||
| District: | Ward No.: | ||
| Pin | Landmark- | ||
| Phone No.: (O) | (R) | ||
| Mobile No.: | Fax No. : | ||
| Email: | |||
| Website/URL: | |||
| 5 | Nature of Business | ||
| 6 | Main activity at principal place of business | ||
| 7 | Full name of applicant | ||
| 8 | Father's name of applicant | ||
| 9 | Status of applicant in Firm/Organization | ||
| 10 | Local address of applicant | House No. : | |
| Street/Complex: | |||
| Village/Mohallah: | Town/City: | ||
| District: | Ward No.: | ||
| Pin | Landmark- | ||
| Phone No.: (O) | (R) | ||
| Mobile No.: | Fax No. : | ||
| Email: | |||
| Website/URL: | |||
| 11 | Permanent address of applicant | House No. | |
| Street/Complex: | |||
| Village/Mohallah: | Town/City: | ||
| District: | Ward No.: | ||
| Pin | Landmark- | ||
| Phone No.: (O) | (R) | ||
| Mobile No.: | Fax No. : | ||
| Email: | |||
| Website/URL: | |||
| 12 | PAN of applicant | ||
| Part-B : Business | |||
| 1 | Date of commencement of business | ||
| 2 | Date of first transaction of operation | ||
| 3 | If operation has not recommended, probable dale ofcommencement | ||
| 4 | Total receipts, till date, financial year wise | ||
| 5 | Date of liability to pay tax under the Act | ||
| 6 | Description of activity/activities of business | ||
| 7 | Details of locations of places activity wise | House No.: | |
| Street/Complex: | |||
| Village/Mohallah: | Town/City: | ||
| District: | Ward No.: | ||
| Pin | Landmark- | ||
| Phone No.: (O) | (R) | ||
| Mobile No.: | Fax No. : | ||
| Email: | |||
| Website/URL: | |||
| 8 | Capital investment in business | ||
| 9 | Source of investment | ||
| 10 | Details of previous owners of the business, if any. | ||
| Part-C: Details ofProprietor/Partners/Directors/Co-parceners of the Firm/Organisation |
| Name and father's Name | Status (* Proprietor/ Partners/ Directors.....) | Age | Local Address with telephone No. | Permanent Address with telephone No. | Extent of interest |
| (1) | (2) | (3) | (4) | (5) | (6) |
| PAN (if any) | Passport Number | Driving licence No. | Voter ID No. | Signature | Signature, name address of the person verifyingthe signature in column (11) |
| (7) | (8) | (9) | (10) | (11) | (12) |
| Name | Name | Name | Name | Name | Name |
| ........ | ........ | ........ | ........ | ........ | ........ |
| Signature | Signature | Signature | Signature | Signature | Signature |
| ........ | ........ | ........ | ........ | ........ | ........ |
| Account Number | Type of Account | Name of Bank and full address of branch |
| Within Madhya Pradesh | Outside of Madhya Pradesh |
| Name of department/Act | Registration/License Number | Date of validity |
| Name of proprietor/ partners/other persons | Details of property owned with complete addressand value | Registry No./Date | Registry Office (Address) | Details of other business with TIN and extent ofshare in it |
| Name of proprietor/ partners/other persons | Details of property owned with complete addressand value | Registry No./Date | Registry Office (Address) | Details of other business with TIN and extent ofshare in it |
| Activity/location | Name and father's name of Manager | Address and Telephone No. | Signature |
1. This is to certify that M/s....................................... whose principal place of business is situated at.......................(address), is registered as a Hotelier or* a Proprietor under the Madhya Pradesh Vilasita. Manoranjan, Amod Evam Vigyapan Kar Adhiniyam, 2011, with effect from.......................(date)
2. The nature of business is :-
*(i) the activity of providing residential accommodation*(ii) the activity or providing entertainment*(iii) the activity of exhibiting advertisements*(iv) the activity of prcwiding 'luxuries3. The Hotelier or* Proprietor has additional places of business at
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