ANNEXURE- GSTAM - I
regular intervals)
(Registered person's Master file - RPMF to be updated on
Registered person's Profile
Part I
1) Name of the Registered person
2) GSTIN
3) Address of the Registered person
(0 Name of Principal place of business
() Flat/Door/Block No.
(i) Road/Street/Lane
(iv Village/Area/Locality
(v) Block/Taluka/Sub-Division
see instruction No. 6(a))
Town/City/District (vii) State/Union Territory (Please
(vi)
PIN Post office
(vin)
1
Telephone Nos.:
(xi) E-mail Address
(x) Fax Nos.
person
Corporate/Registered Office of the Registered
4) Name and address of the
5) Web address of the company:
Permanent Account Number
6) supplied
Description of the goods/services
53
S) Details of Additional Place of Business
Part II Other information
1) Constitution of Business (Please Select the Appropriate)
SI Nq Proprietorship Unlimited Company
Partnership Limited Liability Partoershlp
Hindu Undivided Family Local Authority
Private Limíted Company Statutory Body
Public Limited Company Foreign Limited Llablity
Partnership
Society/Club/Trus/Association of Forelgn Company Registered
Persons (in India)
Government Department Others (Please specify)
VI Public Sector Undertaking
Details of proprietor / partner / CEO/Chairman / Managing Director (as applicoble).
Details of Proprietor/ Partners/CEO/Chairman /Managing Director/Member etc.
a Name
(b) Designation
Residential address
Name of Premises/Building
Flat/Door/Block No.
(i) Road/Street/Lane
(iv) Village/Area/Locality
(v) Block/Taluka/Sub-Division
(vi) Town/City/District (vii) State/Union Territory
(vii) PIN Post office
(ix) Telephone Nos.:
(a) office (b) residence
(x) Fax Nos. (Please see instruction No. 6(a)) (xi) E- mail Address
Permanent Account Number (PAN)
(issued by the Income Tax Department)
In case of more names, please provide the information in the above format.
1) Details of registration with any other Government Department/Agency or Regulatory Authority as the
case may be.
Customs registration No. (BIN No.) yes no LI
if yes give details
DGFT'S IEC No. ves no
if yes give details.
no D
Registrar of Company's CIN No. yes
if yes give details.
yes no
Tour Operators with RTA
if yes give details.
Stock Brokers with SEBI yes no
V.
if yes give details.
the Registered Person,
2) Name and designation of the authorized person of
(a) Name
(b) Designation
Residential address
(c)
55
Name of Premises/Bullding
(i Flat/ Door/Block No
() Road/Street/Lane
(iv) Village/Area/Locality
(v)
Block/Taluka/Sub-Division
(vi) Town/City/District (vii) State/Union Territory
(vill) PIN Post office
Telephone Nos.:
(a) office (b) residence
(x) Fax Nos, (x) E-mail Address
In case of more names, please provide the
information in the above format.
3) Name of the designated bank where the GST is
deposited.
Name of the bank
Name of the branch
4) Details of the Bank accounts used for business
transaction with name of the bank, its specific branch
and acCount number.
(a Account 1
() Name of the bank
() Name of the branch
(üil) Account No.
S
ame
the bran
more than tw entered above.
Part-I
xes paid
ssupplied and ITC paid (for 3 years).
Total credt utilized Net GsT pa in cosn
of the
çosGsescosS
service lied and ITC paid (for 3 years).
Total credit utilized Net sT paia in cast
ipaid
Year 3
(C) Details of Zero rated supplies and Deemed Exports made
Rs, In thousands
Description of HSN Quantity Value
goods/services
Exports
Supplies made to SEZ
unit or SEZ developer
Deemed Exports
Note: Wherever, it is possible, the data may be downloaded from GSTIN while preparing the Master Hle.
