Aa210422028001a RC04052022

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Government of India

Form GST REG-06


[See Rule 10(1)]

Registration Certificate

Registration Number : 21EIEPP5097L1ZT

1. Legal Name TIKI RANI PUHAN

2. Trade Name, if any TIKI RANI PUHAN

3. Constitution of Business Proprietorship

4. Address of Principal Place of Saileswar Temple, GROUND FLOOR, PLOT NO.-2670, KHATA
Business NO.-287, AT/PO- SAILONG, Unnamed Road, PS- GHASIPURA,
Kainpura, Kendujhar, Odisha, 758015

5. Date of Liability

6. Period of Validity From 04/05/2022 To Not Applicable

7. Type of Registration Regular

8. Particulars of Approving Authority Centre

Signature
Signature Not Verified
Digitally signed by DS GOODS AND
SERVICES TAX NETWORK(4)
Date: 2022.05.04 13:00:57 IST

Name Dillip Kumar Swain

Designation Superintendent

Jurisdictional Office Keonjhar Circle

9. Date of issue of Certificate 04/05/2022

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 04/05/2022 by
the jurisdictional authority.
Annexure A

GSTIN 21EIEPP5097L1ZT

Legal Name TIKI RANI PUHAN

Trade Name, if any TIKI RANI PUHAN

Details of Additional Places of Business

Total Number of Additional Places of Business in the State 0


Annexure B

GSTIN 21EIEPP5097L1ZT

Legal Name TIKI RANI PUHAN

Trade Name, if any TIKI RANI PUHAN

Details of Proprietor

1 Name TIKI RANI PUHAN

Designation/Status PROPRIETOR

Resident of State Odisha

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