,,6trLr"rt tjoRNt 4
xifft\
f6ffi$)
\liiil
FORM 4
See Rules 4(4
certificate of Enrolment issued under Karnataka Tax on prof€ssions, Trades, callings
and Employments Act, 1976.s
:f rolment No. :107796069 Date of Enrolment:04 t1a !1fi1-,
Thls is to cenlfy that MANIUNATHA N engagcd in the Professionrrade/calling BHAGYALAKSHMI ENTERpRIsEs located at
DooR
NO l
GROUNO FLOOR a ri Ro^(D ANANDAPURA GAURIBIDANU& PIN:56x2OB has bcen enrolled w.e.f23l1O/2O17 under
the
rbove menttoned Act,
_t!_[older of this Ce+ifi in rhe State_
No Additional Addresses
'fhe
holder ol the certificale shall pay the tax ai the rales specifed in the schedule to the Karnataka Tax on professions, Trades,
Cnllings and Employments Act, 1976 or at such rales as may be revjsed from time to time on or before the 3oth April of every year on or
before th/rty days lrom lhe date of first enrolment ln the manner prescribed under Rule 19 of the Karnataka Tax on professjon;, Trades,
/
:dlJ,ngs and I-mpJoy.nents Rule, t976.
P ace: Sjgnature:...-.......sd/-....
late:O4/ 72,/2077 Designatlon;.....,,....,......
Thls certjfjcate does not require the siqnature of the Professional Tax Offlcer Es one can verlfy the authenficity of the certiflcate by
checklnq the Department web-site.
ntpilp!.kar.nic inl(Sivqn rewmqkbv !gv0vbg./yyzos)yPTFofir/P-iF1)rrn4Pritt.a px 111
.,ii\)tf l:ortf,r 2
.2.'i4l;:.
("'ffi))
\io_eq,'
FORM 2
See Rules 4/1) dn.l 6/?
PTR Nor873915735 Date:04/L2/zot7
I t.i: : VSo la3 . Chikba
L'
l- Ol apur,O:_C!ikIu_t!ep".
Ack n owl ed g em e l!j'l4!p!!!C!lorr for Certificate of Enrolment
I hereby apply for a Certiflcate of EnroJment/Revision of CertiRcate of Enrolrnent under the above
nentloned Acl q! pll pllticulars aiven !q!!l!r
.1. Name of the Appllcant: MANJUNAYHA N
",,':"1110.1---l&""?ldil.iHiii.;:,o,.J"""Ro.a'DANANDA''RA
3. Date of birth and age: oL/06/ 7969
4. Professlon,Trade or Callinq j Security Services
5. Perlod of stdnding in proFession in
years and o Year(s) And 1 Month(s)
monthsi
6- No.of other places of works (please
Sive the
address of the places on the 0
'e. erse).
7. AnnLral Turnover oF all
;ales/pUrchases I 250000
8. No,ot workers cngaged in the
'actoryl
9 No.of ernployees in the
:slabllsh ment: I
Ll. IF Co-operative :;ocjety whether
tote
level,Distric[ level or Taluk level:
Three Wher:lers:
1. No.of vehicles ior which permit Trucks:
nder M.V.Act s held: Buses;
Total:
2. Enroiment No.of p.evious
ertiflca te, if anVi NEW
13. Grounds on whlch revision is
;ouq ht i
NOT APPLICABLE
14. PT Demand enter€d by the Dealer: 2500
15. PT Additional Demand raised by the
3ff1.:er: o
Payment Details
)'it', 1, ! ui!L ir:tJ,fiu, iiirr"*."*-.''rIri)Llrt
r:-l)aynlent 1850596705 O,ltiZ'ZOll
'.Kffb$ffin;'.1:soo
lhFiDovestdlementdTerr-elorhebescoFmyknowledqe."o{"#}{rr"'r',,r"rrolto."tl,r**
_ ApplielplNurhber and pdyrrenLs Lo ger Lnts appt caf&dfknowtedqed bv the pt'O.' . 1
Date:o4JiL4299 siqnaturc with s,"t", f ff/ ti,,,ii3- , I ' 'i--f
Fnrolanent No:NEW
TFOR OFFICIE USE ON
i. i:!. x,
I)> 4- r
i,..: \
h"
omc"eii,:.1....
Date of En rolrnent:
r
Slgnature of Issuing
vote: selJ sss€s,sed tax is less than amount specitied in pT scheduf€,-:lnFaqe, Froduce evldences
"., ".:fif
lq{qlt: officer corrcerned for acknowledqement, I)ownload certifica'te tliereaiter.
r'(p l/d kar.r iti gv0vbgrzy-vzos))/PTForn/pl-Fo.m2Fint_a6px 111
o.Puyn1(lrl.Cl1ollfl/t
(sec Rute 19-A or the t<arnoraka ,"rt3f$j,4","n,Trades,ca ins and En:ployment
Ru les.
jor Head of Account : o028-OO-107
te: ct4 / L2/2AL7
ame of the bank : SlATE BANK OF INDIA
rnitter's RC; P'fO: 143
BHAGYAL,AKSHMI ENTERPRISES
Ref No.:185O596705
ead of Account .l\mount
state pT
1.0028-00-107-0-01 TaX Collection 2500
Penally 0,00
28-00-107-0-01 Interest 0.00
028-00-107-0-01 Others 0.00
mount (In Words)
upees:( TWO THOUSAND FIVE HUNDRED RUpEFs ONLy )
use in Bank -freasury
/
olrntant with Bank Seal Treasurer / Tt
q!!4!'19!t of Commercjal Tax, covt. of Karnataka,
1:'ri.lB: r.fipY
\l
b$dr-.
u '-l .''l
; r.. ;, '
"
lr:','
;,i-,':'..,. i:- i:': :: :i'r
iii:r-i. Ii i"lr
",i :;,.i.".ii -i. ii
ii.i. t, i I j/i,i i'i.i i"l.- y {i' I ii i S
):tr.,r'/v!r'k!r'nloin/upayrch{lrrn/ch{illsnsrsstnspx?tin-1100&cid16rno!18505g6705&ps/dr=0{/ir22017&s,nt+25cc.0c
o.Poym0nl Choll0n
(Sec ltu/e 19-A of , rna
the xa
FORM9.A---'---=.....-
ra ka To* on
flo_fggrJgn,Trades,Caiting
1976(a))
0028-OO-107
ame r:f the bank 04/ L2/20ra
emitter,s
:
SIqE JAi.J}( OF INDIA
ame: D'l-/1
a i AL va LA rsa u * r. ['oo#&u,
Rer No.:resbEe-668e ",
ead of Accoiil
StAtE PT
1.0028-00_107_0_01
Tax Collection
028-00- 10 7-0_01 Penally
28-0 0-107-0-01
Interest
Others
Total
iount (In WoiOr)--..-.-.---....-.- 25f
pees; ( TWo TH6USAND
FIVE HUNDRED RUPEFS ONLY
)
r use in Bank 7-TEalIii
cejved Rupees
ntant with Bank Seal
Treasurer/ Treasurv
rlment or corymerciai - -,. with
unicer
Tax Treasury Seal
knrh,. i./-^-
4-Paynranl Ch.llon
(See Rulc 19-A o', the karn a ia ka Tax on profession,Trodes,Calling
1976(a ) )
CI-IALLAN
ate : L2/ 04 /2019
ame of the bank : STATE,BANI(OF INDrA
emirter's RC: ffiBHAGYAL,AKSTIMI
AME : ENTERPRISES
Ref No.: 185O896918
ead of Account Amount
State PT
r. 002 8-0 0- 107-0-01 Tax Collectioh 2500
Penalty 0.00
028-00-107-0-01 Interest 0.00
028-00,107-0-01 Others o.00
Total
ount (In Words)
upees:( TWO TIIOUSAND FIVE HUNDRED RUPEES ONLY
)
use in Bank / Treasury
nt wilh Bank Seal
ou nta Treasurar / Trei
Offlcer wilh Treasury
epartmenl of Commercial Tax
'i';1iiIr r;"1i"]1;;Y
'irli{//vdlksr'^icin/oFnylchlllen/6hall4n{lestirspx?tjn-1100&6Lclr€tno.i850sg6?0sepaydr=04/1212017&€rnr=rsoono
e-l)€lyaronL Ch{llarn
FORM 9-A 1
(Sec Rule 19-A of the l(arnataka Tax on Profession,-frades,Calllng 0rld Employment Rules,
, 1976(a)) l
CI.lALLAN
r.;or Head of Acco u rr f 0028-o0-107
1"2/02/2020
me of the bank : STAI'E B/rNK OF INDIA
emitter's RC:
arne : BHAGYALAKSHMI ENTERPRISES
Ref No-:1850895O9 crlod :
ead of Account Amount
State PT
l. 0028-00-107-0-(11
Collcction 'T'ax 2500 PT
lty lrena O,OO
028-00-107-0-01 Intcr€sl O.OO
028-00-107-0-01 Others O.Oo
ount (ln Words)
upees:( TWO TilOLiSAflD FIVE HIJNDRED RUPEES ONLY )
nalure of remitter
or use in Bank ,/ Treasury
eceived Rupees
Treasurer / Treasu
ou nta nt with Banl< seal
ent of Cornmercial Tax Govt, of Karnata ka.
-{";:l.i.Jfi
nc}pY
e'Prymi!rl Chrlrn
fsee Rute 1.9-A of the karrlaraka ru"t"oJt|'rjr*r,"n,Tra d es, ca llin g
. 1976(a))
CI]ALLAN
jor llead of Account oo2a-oo-107
te i 7.2/04 / 202L
e of the bank : STATE BANK OF INDIA
- em llter's RC: 11oO PTO:183
. arne : BHAGYALAKSHMI ENTERPRISES
cldress :
Ref No.:185O896504
*ad of Account A-ou"t* .
State P'f
E. 0028-00-107-0-01 Tax Co ectjon 2SOO pT
penalty 0,OO
2B-00-107-0-01 Interest o:oo
D28-00-107-0-01 Others 0.;;
ount (In Words)
I.EPL'C.S:( TWO TI-]OUSAND FIVT HUNDRED RUPEES ONLY
)
Siclnature of rem itter/d
or use in Bank / Treasury
e ceived Rupees
a te:
rj{:ountant with Bank seal Treasurer / Tr
officer with Treasury seal
epaftment of commercial Tax, Govt, oF Karnataka.
