(Amended)

Government of India
Form GST REG-06
[See Rule 10(1)]
Registration Certificate
Registration Number :32BJKPK2076E2ZF

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1. Legal Name JACOB ANTONY KOCHUKAROTTU

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2. Trade Name, if any CASA IN

3. Additional trade names, if

any

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4. Constitution of Business Proprietorship

5. Address of Principal Place of Building No./Flat No.: TC 82/2417

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Business Road/Street: CHIRAKULAM ROAD
City/Town/Village: STATUE
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District: Thiruvananthapuram
State: Kerala
PIN Code: 695001
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6. Date of Liability

7. Date of Validity From 03/09/2018 To Not Applicable

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8. Type of Registration Regular

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9. Particulars of Approving Centre Goods and Services Tax Act, 2017

Signature
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Signature Not Verified

Digitally signed by DS GOODS
AND SERVICES TAX
NETWORK 07
Date: 2024.03.26 12:15:32 IST

Name Deepu Divakaran

Designation Superintendent

Jurisdictional Office Taxpayer Services Circle Fort

Date of issue of Certificate 26/03/2024

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 26/03/2024 by the jurisdictional authority.
 Annexure A

Goods and Services Tax Identification Number: 32BJKPK2076E2ZF

Details of Additional Place of Business(s)

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Legal Name JACOB ANTONY KOCHUKAROTTU

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Trade Name, if any CASA IN

Additional trade names, if

any

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Total Number of Additional Places of Business(s) in the State 1

1
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70/1401-A, CASA LUXURY HOME STAY, Puthiya Road, Kaloor, Kochi, Ernakulam, Kerala,
682017
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 Annexure B

Goods and Services Tax Identification Number: 32BJKPK2076E2ZF

Legal Name JACOB ANTONY KOCHUKAROTTU

Trade Name, if any CASA IN

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Additional trade names, if
any

Ta
Details of Proprietor

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1 Name JACOB ANTONY KOCHUKAROTTU

Designation/Status PROPRIETOR

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Resident of State Kerala
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