Government of India

Form GST REG-06

[See Rule 10(1)]

Registration Certificate

Registration Number : 29CRGPP5968P1ZJ

1. Legal Name KAVITHA HIRISAVE PALAKSHAIAH

2. Trade Name, if any VEERANNA MART

3. Additional trade names, if any null

4. Constitution of Business Proprietorship

5. Address of Principal Place of VINAYAK AGENCY, 01, 01, VEERESHA, HIRISAVE ROAD,
Business Nuggehalli, Hassan, Karnataka, 573131

6. Date of Liability

7. Period of Validity From 03/09/2022 To Not Applicable

8. Type of Registration Regular

Signature Not Verified

9 Particulars of Approving Authority Centre
Digitally signed by DS GOODS AND
SERVICES TAX NETWORK(4)
Signature Date: 2022.09.03 06:30:13 IST

Name Suresh Kumar Talapan

Designation Superintendent

Jurisdictional Office SGSTO 241 - Arsikere

9. Date of issue of Certificate 03/09/2022

Note: The registration certificate is required to be prominently displayed at all places of business in the State.

This is a system generated digitally signed Registration Certificate issued based on the approval of application granted on 03/09/2022 by
the jurisdictional authority.
 Annexure A

GSTIN 29CRGPP5968P1ZJ

Legal Name KAVITHA HIRISAVE PALAKSHAIAH

Trade Name, if any VEERANNA MART

Additional trade names, if null

any

Details of Additional Places of Business

Total Number of Additional Places of Business in the State 0

 Annexure B

GSTIN 29CRGPP5968P1ZJ

Legal Name KAVITHA HIRISAVE PALAKSHAIAH

Trade Name, if any VEERANNA MART

Additional trade names, if null

any

Details of Proprietor

1 Name KAVITHA HIRISAVE PALAKSHAIAH

Designation/Status Proprietorship

Resident of State Karnataka