Real Estate Marketing Agent Registration Form: Important Instructions

Real Estate Marketing Agent Registration Form

IMPORTANT INSTRUCTIONS
1. Please provide the required information and attach the relevant documents. If any item is not relevant,
please write Not Applicable.
2. Vendor shall provide Xerox copies of the following documents duly attested by the Proprietor / Partner /
Karta of HUF / Chief Executive / Director of the entity as applicable :
A: Applicable to all entities
a)
b)
c)
d)
e)

PAN card of the entity.

Trade License of the entity.
Service Tax Registration certificate (If Applicable).
Latest copy of Income Tax Assessment Order.
Copy of SME registration certificate (If registered as SME under MSMED Act, 2006)
B: Additional documents for Companies registered under Companies Act, 1956 / 2013:
a)
b)
c)
d)
e)
Certificate of Incorporation
Memorandum and Articles of Association
List of Directors of the Companies
Copy of last Audited Annual Accounts
PAN card and Voter ID of the Director / Chief Executive of the entity who will be signing this
form
C: Additional documents for Entities Other than companies:

a) PAN card and Voter ID of the Proprietor / Partner / Karta of HUF / Chief Executive of the
entity who will be signing this form.
b) Copy of Partnership Deed (In case of Partnership Firm only.)
3. Agent registration forms that are not completed in their entirety, with all relevant documents or which
are not duly certified by the authorized person may not be processed.
4. This form should be submitted along with all documents at the following address:
Mr. Ranjan Sasmal
Mounthill Realty Pvt Ltd.,
Salt Lake Stadium,
Between Gate No.1 & 2, 1st Floor,
Bhagwandas Taxi Meter Testing Centre
Salt Lake, Kolkata
West Bengal 700098
1
REAL ESTATE MARKETING AGENT REGN FORM-VER02-01/08/2015
Real Estate Marketing Agent Registration Form

1. Name of the Marketing Agent Entity :
_______
2. Address, Telephone, Fax and email:
Registered Office (with PIN Code)
Corporate Office, if any (with PIN

Code)
(If there is more than one Branch, the details may be provided by way of Annexure for the same).
3. Form of Agents Entity: Proprietorship / Partnership / HUF / Private Ltd. / Public Ltd / Others.
(Please tick the correct option)
4. Name of Proprietor / Partner / Karta / Director / Chief Executive signing this form :
__________________________________________________________________________________
__________________________________________________________________________________
5. Please tick whichever applicable:
General SSI
SME under SMEDA Act,2006
No. of Years in Business: 0 to 1
2 to 3 4 to 10 Above 10
No. Of Employees:
1 to 10 11 to 19 20 to 50 Above 50
Associated with any Employee of the group:
Yes
No
a) Unit category:
b)
c)
d)
If Yes details of Employee:

Name:
Relation:
2
6. Entity Details
a) Total Office Area (In Sq Ft) _______________________________________________
b) Does entity have any other branches / office Location?
Yes
No
If yes Please give details:
Sl. No.
Branch Address
Contact No.
7. List of your major Clients:
Sl.
No.
Promoter Name
Project Type
(Residential/
Commercial)
Project Size
(Sq Ft- In
Lacs)
Type of
Agreement
(Exclusive/O
pen Market)
No. of
Personnel
Deployed
on the
project
No. of
Months/ye
ars in
which
project
sold
2
3
4
5
3
8. For any clarification person to be contacted in entity (Please give two contacts):
Name
Designation
Contact No. & E mail
ID
Name
Designation
Contact No.
with mail ID
9. Annual Turnover (last 3 years): (Optional for Individuals and HUF)

Sl.No.
Financial Year
Turnover
1
2
3
10. Statutory Requirements (Please also provide additionally these details for branch office, if any):
Sl No.
Description
I.
PF Registration No
II.
ESIC No.
III.
PAN No.
IV.
Service Tax Registration No
V.
Trade License No.
Head Office / Registered

Office
Branch Office
4
VI.
Professional Tax Registration

No.
VII.
Professional Tax Enrolment

No.
11. Bank Details:

Name of your Bankers
Account Type (Savings / Current / Cash
Credit A/c)
Address
Exact Name as per Bank Records for
payment through RTGS/NEFT
Account No.
MICR Code
RTGS/IFSC Code
12. Please tick the documents attached which should be self attested by Proprietor / Partner / Karta of HUF /
Director / Chief Executive of the Entity.
Income Tax PAN
Trade License
Service Tax Registration Certificate
Income tax
Assessment Order
SME Registration
Certificate
Certificate of Incorporation
MOA/AOA
List of Directors / Partners
Copy of PAN of the

person signing this form
PF Registration Certificate
Copy of Last Audited

Annual Accounts
Copy of Voter ID card / Bank Statement

of the person signing this form
ESIC Registration Certificate
Copy of Cancelled Cheque
Any Other Documents if any, Pl. Specify

5
Declaration
I, ___________________________________________________________________ son of / daughter of
_____________________________________________________ being Proprietor / Partner / Karta of HUF
/ Director / Chief Executive of __________________________________________________ do hereby
declare that the Information / Details / Documents / Data submitted above is True and Correct to the best of
my Knowledge and Belief and in case any of the above information is found to be incorrect at a later date,
my registration shall be liable to be cancelled and my any payment shall be withheld by the Company and
any unprocessed bill shall remain withheld by the Company. I further declare that..:
1. That post issuance of rate contract; the Original bill will be submitted along with Duplicate Copy and copy of
the Rate Contract issued along with proof of Completion of Services by way of certificate from the user. IT
IS CLEARLY UNDERSTOOD THAT IN ABSENCE OF THESE DOCUMENTS/DETAILS, BILL WILL NOT
BE PROCESSED FOR PAYMENT.
2. That wherever Service Tax will be charged, the bifurcation of the taxes will be provided in the invoice
3. That in case we do not provide certified copy of PAN card, the Company will be deducting TDS @20% or at
such rate as may be prescribed under Income Tax Laws of India.
4. That in case we do not provide the required Documents as required under various Statutes, the Company
shall be deducting the full amount of Liability which may arise, from the payment to be made to us under
respective Invoices.
5. That any change in the constitution of the ownership / address will be communicated to the company within
7 days of such change.
6. That Payment to our company might be withheld if any information furnished above is found to be
incorrect on a later date.
Date :
_____________________________
Place :
Signature and Stamp of Vendor
6
FOR OFFICE USE ONLY

APPROVAL FOR ADDITION OF MERKETING AGENT
Agent Approved
YES
NO
Effective Date of Addition__________________________

Approved as
Regular Agent One Time Agent
Vendor Master Updated By _______________

Approved By
________________________________
___________________
___________________
_______________________
Commercial Executive
Accounts Executive
Manager Accounts Payable
7

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Real Estate Marketing Agent Registration Form

PAN card of the entity.

C: Additional documents for Entities Other than companies:

Real Estate Marketing Agent Registration Form

2. Address, Telephone, Fax and email:

Registered Office (with PIN Code)

Corporate Office, if any (with PIN

If Yes details of Employee:

If yes Please give details:

7. List of your major Clients:

9. Annual Turnover (last 3 years): (Optional for Individuals and HUF)

Service Tax Registration No

Trade License No.

Head Office / Registered

Professional Tax Registration

Professional Tax Enrolment

11. Bank Details:

Service Tax Registration Certificate

List of Directors / Partners

Copy of PAN of the

Copy of Last Audited

Copy of Voter ID card / Bank Statement

Copy of Cancelled Cheque

Any Other Documents if any, Pl. Specify

Signature and Stamp of Vendor

FOR OFFICE USE ONLY

Effective Date of Addition__________________________

Regular Agent One Time Agent

Vendor Master Updated By _______________

Manager Accounts Payable

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