FORM D-1
Certificate of Registration [See rules 28 and 29]

No.

    This is to certify that (*) ......................................................................................... whose principal place of   business 
     is situated at <sup>**  .....................................................................................................................    has been registered as a dealer
     at  .......................................................................   under section 12 (1)/(2) of the Andhra Pradesh General Sales Tax Act, 1957.

2.  The Dealer's year for the purpose of accounts runs from................................. day of ............................... to the.......................... day
      of. .....................................................................................
3.  The dealer has no additional place of business/has additional place(s) of business as stated below:
4.  The dealer stores goods at the following places:-
            (1)
            (2)
            (3)
5.  The dealer shall maintain a correct and true account of (a) the quantities of the goods of each description received
      by him/them and the purchase price thereof, (b) the names and addresses of persons from whom he/they received the 
      same , (c) the quantities of each of the goods sold by him/them with the amount for which it was sold and the names and 
      addresses of persons to whom it was sold.
6.  This certificate is valid from ............................................................ until cancelled and shall be exhibited at conspicuous place,
      at the principal place of business of the dealer:
      [Provided that the certificate of registration issued to dealers in motor spirit shall be valid only so long as the place of
      business of the dealer is licenced under the Indian Petroleum Rules, 1937.]</sup>

                                                                                                                                                                                       ^{Signed
                                                                                                                                                                Assistant Commercial Tax Officer.}

^{Date    (seal)}

^{Strike out whichever is not applicable.}
*        Here enter the name and style under which the business is carried on.
**      Here enter the name of the above for which the registration certificate is issued.
Note:- The proviso to item 6 was added by G.O.Ms.No, 626, Rev.dt.1.7.1969.