(Amended)

Government of India
Form GST REG-06
[See Rule 10(1)]

Registration Certificate

Registration Number :24ADPPP9696K2ZF

1. Legal Name kailash prakash pandey

2. Trade Name, if any asian safety and risk and management servics

3. Constitution of Business Proprietorship

4. Address of Principal Place of fourth floor, A-401, Sarthak Appartment Near Rameshwaram Residency,
Business L.P.Savani Road, surat, Surat, Gujarat, 395009

5. Date of Liability 26/07/2017

6. Date of Validity From 28/07/2017 To NA

7. Type of Registration Regular

8. Particulars of Approving Authority

Gujarat Goods and Services Tax Act, 2017

Signature
Name RAMESHBHAI JAMSUBHAI GAVIT

Designation Commercial Tax Officer

Office Ghatak 65 (Surat)

Date of issue of Certificate 17/04/2018

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
 Annexure A
Details of Additional Place of Business(s)

GSTIN 24ADPPP9696K2ZF

Legal Name kailash prakash pandey

Trade Name, if any asian safety and risk and management servics

Total Number of Additional Places of Business(s) in the State 0

 Annexure B

GSTIN 24ADPPP9696K2ZF

Legal Name kailash prakash pandey

Trade Name, if any asian safety and risk and management servics

Details of Proprietor

1 Name kailash prakash pandey

Designation/Status Proprietorship

Resident of State Gujarat