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Government of India

Form GST REG-06


[See Rule 10(1)]

Registration Certificate

Registration Number : 19AIKPM7310B1ZG

1. Legal Name BAIDYANATH MANDAL

2. Trade Name, if any SUJATA MEDICAL STORES(NEW)

3. Constitution of Business Proprietorship

4. Address of Principal Place of SONAMUI, GOURA, SONAMUI, Paschim Medinipur,


Business West Bengal, 721146

5. Date of Liability

6. Period of Validity From 18/02/2020 To Not Applicable

7. Type of Registration Regular

8. Particulars of Approving Authority Centre

Signature

Name Sujit Sengupta

Designation Superintendent

Jurisdictional Office MIDNAPORE

9. Date of issue of Certificate 18/02/2020

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 18/02/2020 by
the jurisdictional authority.
Annexure A

GSTIN 19AIKPM7310B1ZG

Legal Name BAIDYANATH MANDAL

Trade Name, if any SUJATA MEDICAL STORES(NEW)

Details of Additional Places of Business

Total Number of Additional Places of Business in the State 0


Annexure B

GSTIN 19AIKPM7310B1ZG

Legal Name BAIDYANATH MANDAL

Trade Name, if any SUJATA MEDICAL STORES(NEW)

Details of Proprietor

1 Name BAIDYANATH MANDAL

Designation/Status proprietor

Resident of State West Bengal

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