(Amended)

Government of India
Form GST REG-06
[See Rule 10(1)]

Registration Certificate

Registration Number :10ELQPK5981M1ZG

1. Legal Name GAUTAM KUMAR

2. Trade Name, if any GAUTAM AYURVEDIC AUSHDHALAY

3. Constitution of Business Proprietorship

4. Address of Principal Place of GROUND FLOOR, C/O PRASHANT KUMAR, S/O RAM SEVAK
Business MISHRA, VILL- BARAUNI, WARD NO.-03, PANCH- BARAUNI- 02,,
TEGHRA, BEGUSARAI, Begusarai, Bihar, 851113

5. Date of Liability

6. Date of Validity From 06/07/2019 To Not Applicable

7. Type of Registration Regular

8. Particulars of Approving Authority Bihar Goods and Services Tax Act, 2017

Signature

Name Ranjeet Kumar Sinha

Designation Joint Commissioner of State Tax

Jurisdictional Office Begusarai

9. Date of issue of Certificate 28/08/2021

Note: The registration certificate is required to be prominently displayed at all places of Business/Office(s) in the State.

This is a system generated digitally signed Registration Certificate issued based on the approval of application granted on 28/08/2021 by
the jurisdictional authority.
 Annexure A

Details of Additional Place of Business(s)

GSTIN 10ELQPK5981M1ZG

Legal Name GAUTAM KUMAR

Trade Name, if any GAUTAM AYURVEDIC AUSHDHALAY

Total Number of Additional Places of Business(s) in the State 0

 Annexure B

GSTIN 10ELQPK5981M1ZG

Legal Name GAUTAM KUMAR

Trade Name, if any GAUTAM AYURVEDIC AUSHDHALAY

Details of Proprietor

1 Name GAUTAM KUMAR

Designation/Status PROPRIETOR

Resident of State Bihar