36. GST_REG_06
Government of India
And
Government of <State>
Form GST REG-06
[See Rule —-]
Registration Certificate issued under Section —–
Central Goods and Services Tax Act, 20– and <State> Goods and Services Tax Act, 20– Registration Number: <GSTIN/Unique ID Number (UIN) generated by the system>
6.Date of Validity
1. | Legal Name | ||||||||
2. | Trade Name, if any | ||||||||
3. | Constitution | ||||||||
4. | Address of Principal Place of Business | ||||||||
5. | Date of Liability | DD/MM/ YYYY | |||||||
6. | Date of Validity | From | DD/MM/YYYY | ||||||
To* (Applicable only in case of Non- Resident Taxpayers or Casual Taxpayers) | DD/MM/YYYY | ||||||||
7. | Type of Registration | ||||||||
Central Goods and Services Tax Act, 20__ | <State> Goods and Services Tax Act, 20__ | ||||||||
Signature | Signature | ||||||||
Name | <Name of Proper Officer> | Name | <Name of Proper Officer> | ||||||
Designation | Designation of Proper Officer | Designation | Designation of Proper Officer | ||||||
8. Date of Certificate | |||||||||
Jurisdictional Office | Center | State | |||||||
Note: The registration certificate is required to be prominently displayed at all places of Business/Office(s) in the State. | |||||||||
Place for Photo | |||||||||||||
st | |||||||||||||
Place for Photo | |||||||||||||
nd | |||||||||||||
Place for Photo | |||||||||||||
rd | |||||||||||||
Place for Photo | |||||||||||||
th | |||||||||||||
Place for Photo | |||||||||||||
th | |||||||||||||
Place for Photo | |||||||||||||
th | |||||||||||||
Annexure A
Details of <Proprietor / all partners / Karta / Managing Director and whole-time Director / Members of the Managing Committee of Association of Persons / Board of Trustees etc.>
GSTIN
Legal Name
1. Name <Name of the 1 Promoter
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
2. Name <Name of the 2 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
3. Name <Name of the 3 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
4. Name <Name of the 4 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
5. Name <Name of the 5 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
6. Name <Name of the 6 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
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Place for Photo | |||||||
th | |||||||
Place for Photo | |||||||
th | |||||||
Place for Photo | |||||||
th | |||||||
Place for Photo | |||||||
th | |||||||
7. Name <Name of the 7 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
8. Name <Name of the 8 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
9. Name <Name of the 9 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
10. Name <Name of the 10 Promoter>
Designation/Status <Designation of the Promoter>
Resident of State <Residential Status of Promoter>
[Type here]
Annexure B*
Details of Additional Place of Business(s)
[Type here]
GSTIN
Legal Name
Total Number of Additional Place of Business(s) in the State
Sr. No. Address
…
Note * To be created if Taxpayer has any additional place of business within the state. Certificate of registration in FORM GST REG-6, shall be made available indicating all additional places of business for the principal place of business and separate registration certificate for every declared additional place of business indicating the address of that place besides address of principal place of business , shall be printed on Registration Certificate.
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