Government of India

Form GST REG-06

[See Rule 10(1)]

Registration Certificate

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Registration Number : 36BJNPLXXXXD1ZX

Ta
1. Legal Name Your Name

2. Trade Name, if any Company Name

es
3. Additional trade names, if any

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4. Constitution of Business Proprietorship

5. Address of Principal Place of

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Business
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6. Date of Liability 27/05/20XX

7. Period of Validity From 27/05/20XX To Not Applicable

8. Type of Registration Regular

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9. Particulars of Approving Telangana

Signature Signature Not Verified

Digitally signed by DS GOODS AND
SERVICES TAX NETWORK 07
ds

Date: 2023.06.16 10:45:28 IST

Name Officer Name

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Designation Deputy State Tax Officer

Jurisdictional Office SURYAPET

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Date of issue of Certificate 16/06/20XX

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 16/06/2023 by the jurisdictional authority.
 Annexure A

Goods and Services Tax Identification Number: 36BJNPLXXXXD1ZX

Details of Additional Place of Business(s)

Legal Name Your Name

x
Trade Name, if any Company Name

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Total Number of Additional Places of Business in the State 0

es
ic
rv
Se
d
an
ds
oo
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 Annexure B

Goods and Services Tax Identification Number: 36BJNPLXXXXD1ZX

Legal Name Your Name

Trade Name, if any Company Name

x
Ta
Details of Proprietor

1 Name Your Name

Designation/Status Managing Director

es
Resident of State Telangana

ic
rv
Se
d
an
ds
oo
G