APPLICATION FOR REGISTRATION.

(Under Section 69 of the Finance Act, 1994 (32 of 1994)

1. Name of the Assessee :

2. Address of the Assessee :

3. Address of the premises to be registered.

4. Category of the service :

5. Fax/Telex and Phone No. :

6. Form of Organization:
    (Individual/Company/ partnership/prop etc)

7. Additional information (required in the case of stock broker):

( a ) Name of the Member with Code No.
( b ) Name of stock Exchange registered with.
( c ) Date of admission of membership
( d ) Whether member of more than one stock Exchange
            If so, please give name Of the stock exchanges With Code Numbers
( e ) Registration No. allotted by Securities and Exchange Board of India
            (Copy of Certificate of registration may be enclosed or a copyof application for registration with                 SEBI may be enclosed)

I/WE ____________________________________________ agree to abide by all the provisions of service Tax Rules, 1994 and order issued thereunder;

I/WE ____________________________________________ declare to the best of knowledge and belief that the information furnished herein is true and complete.

PLACE :                                                                                                                  Signature of the assesses
                                                                                                                           or his authorised representative.