Declaration For Authorised Signatory

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GOURI TRADERS

PLOT NO- 554/2530, KORADA KANTA, LAXMI SAGAR, BHUBANESWAR-751006

Declaration for Authorized Signatory

I/We :-

S. No. Name of Partners / Directors / Members of Managing Committee


1 JYOTI PRASAD JENA
2 RUPAK BAROI

Hereby solemnly affirm and declare that JYOTI PRASAD JENA to act as an authorized
signatory for the business M/S GOURI TRADERS for which application for registration is being
filed / is registered under the Goods and Service Tax Act, 2017.

Signatures

S.No. Name of Partners / Directors Designation Signature


/ Members of Managing Committee

1 JYOTI PRASAD JENA PARTNER

2 RUPAK BAROI PARTNER

Acceptance as an authorized signatory

I JYOTI PRASAD JENA hereby solemnly accord my acceptance to act as authorized signatory
for the above referred business and all my acts shall be binding on the business.

Signature of Authorized Signatory

Designation/Status

Date:- 26/11/2019

Place:- BHUBANESWAR

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