Form ST-2
[Certificate of registration under Section 69 of The Finance Act, 1994 (32 of 1994)]

Shri/Ms. ………………………………………………. (name with complete address of premises ) having undertaken to comply with the conditions prescribed in Chapter V of the Finance Act, 1994 read with the Service Tax Rules, 1994, and any orders issued thereunder is hereby certified to have been registered with the Central Excise Department. The Service Tax Code and other details are mentioned hereunder.

1.	PAN No. cccccccccc
2.	Service Tax Code ccccccccccccccc (Registration Number)
3.	Taxable Services ccccccccccccccc
4.	Address of business premises: (i) Name of Premises / Building cccccccccccccccccccc (ii) Flat/Door/Block No. cccccccccccccccccccc (iii) Road/Street/Lane cccccccccccccccccccc (iv) Village / Area / Lane cccccccccccccccccccc (v) Block/Taluk/Sub-Division/Town cccccccccccccccccccc (vi) Post office cccccccccccccccccccc (vii)City/District cccccccccccccccccccc (viii)State/Union Territory cccccccccccccccccccc (ix) PIN Telephone Nos: cccccc cccccccccccccc (x) E-mail Address cccccccccccccccccccc
5.	PREMISES CODE ccccccccc [SL.NOS.2,3,4 TO BE REPEATED FOR EVERY PREMISES BEING GRANTED A REGISTRATION UNDER THIS CERTIFICATE. PREMISES CODE IS GIVEN BY THE DEPARTMENT BASED ON THE COMMISSIONERATE+DIVISION+ RANGE+ SL NO]

6. This certificate is issued incorporating the changes intimated by the applicant and the previous certificate of registration bearing Registration Number _______________issued on_________ stand cancelled.

(Paragraph 6 has been inserted vide NTF. NO. 01/2007-ST, DT. 01/03/2007)

Note:

1. In case the registrant starts providing any other taxable service (other than those mentioned above), he shall intimate the department.

2. In case the registrant starts billing from other premises (other than those mentioned above), he shall intimate the department.

3. These intimations and any other information which registrant wishes to bring to the notice of the department can be submitted on-line by the registrant after logging on to web-site.

4. This registration certificate is not transferable.

5. List of Accounting Codes is enclosed. These may invariably be furnished in the challan at the time of making payment of service tax.

Place: …………….	Name and signature of the Central Excise
Date: …………….	Officer with official seal

CC: (by e-mail) To-
(1) The Pay and Accounts Officer (Commissionerate Name)
(2) The Superintendent of Central Excise (Where premises are located).

(Form ST - 2 has been substituted vide NTF. NO. 31/2005-ST, DT. 20/10/2005)

---

[OLD-
FORM ST-2
Certificate of registration under section 69 of The Finance Act, 1994 (32 of 1994)

1. Shri/Ms._________________________________________________________ having undertaken
(name with complete address of premises)
comply with the conditions prescribed in the Service Tax Rules, 1994, and any orders issued there under is hereby certified to have been registered with the Central Excise department for payment of service tax on services of _______________________.
His registration No. is_________________________________

2. This certificate is valid only for the premises given above.

3. This registration certificate is not transferable.

4. This certificate shall remain valid till the holder carries on the activity for which the certificate has been issued or where surrender of the certificate is accepted by the Central Excise Officer.

Place:
Date:

Name and signature
of the Central Excise Officer with official seal. ]

(Note:- see
1. Trade Notice No. 7/97-ST, dt. 4/7/97
2. Trade Notice No. 53/97-ST, dt. 4/7/97
3. Trade Notice No. 62/97-ST, dt. 5/8/97
4. Trade Notice No. 71/97-ST, dt. 29/8/97)