(Amended)

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

Registration Certificate

Registration Number :21DHEPS0374B1ZT

1. Legal Name KARAPAWA SANJIB KUMAR SUBUDHI

2. Trade Name, if any K . SANJIB KUMAR SUBUDHI

3. Additional trade names, if any

4. Constitution of Business Proprietorship

5. Address of Principal Place of Saraswati Ice Cream Cool Parlour, Ground Floor, Shop No. 1, Laxmi
Business Ganesh Nivas, Near Amba Market, infront of Raja Rani Apartment,
Housing Board Colony, Berhampur, Ganjam, Odisha, 760002

6. Date of Liability 01/07/2017

7. Date of Validity From 01/07/2017 To Not Applicable

8. Type of Registration Regular

Signature Not Verified

Digitally signed by DS
9 Particulars of Approving Authority Odisha
GOODS ANDGoods and Services
SERVICES Tax Act, 2017
TAX NETWORK(4)
Signature Date: 2022.07.02 13:31:10
IST

Name SUJEET KUMAR BEHERA

Designation CT & GST Officer

Jurisdictional Office Ganjam - I Circle

9. Date of issue of Certificate 02/07/2022

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 02/07/2022 by
the jurisdictional authority.
 Annexure A

Details of Additional Place of Business(s)

GSTIN 21DHEPS0374B1ZT

Legal Name KARAPAWA SANJIB KUMAR SUBUDHI

Trade Name, if any K . SANJIB KUMAR SUBUDHI

Additional trade names, if

any

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

 Annexure B

GSTIN 21DHEPS0374B1ZT

Legal Name KARAPAWA SANJIB KUMAR SUBUDHI

Trade Name, if any K . SANJIB KUMAR SUBUDHI

Additional trade names, if

any

Details of Proprietor

1 Name KARAPAWA SANJIB KUMAR SUBUDHI

Designation/Status PROPRIETORSHIP

Resident of State Odisha