Government of India Form GST REG-06 [See Rule 10(1)] Registration Certificate Registration Number : 27BPYPD0149B1Z0 1. Legal Name POONAM RAMESH DEORE 2. Trade Name, if any POONAM DEORE 3. Constitution of Business Proprietorship 4. Address of Principal Place of SN 250/3/20 PN 19, NEAR GOPAL NAGAR, BHAKTI Business CHETNA NAGAR BOMBAY AGRA ROAD, NASHIK, Nashik, Maharashtra, 422003 5. Date of Liability 6. Period of Validity From 15/11/2019 To Not Applicable 7. Type of Registration Regular 8. Particulars of Approving Authority Signature Name Designation Jurisdictional Office 9. Date of issue of Certificate 15/11/2019 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 deemed approval of application on 15/11/2019 . Annexure A GSTIN 27BPYPD0149B1Z0 Legal Name POONAM RAMESH DEORE Trade Name, if any POONAM DEORE Details of Additional Places of Business Total Number of Additional Places of Business in the State 0 Annexure B GSTIN 27BPYPD0149B1Z0 Legal Name POONAM RAMESH DEORE Trade Name, if any POONAM DEORE Details of Proprietor 1 Name POONAM RAMESH DEORE Designation/Status PROPRITOR Resident of State Maharashtra