Government of India

Form GST REG-06

[See Rule 10(1)]

Registration Certificate

Registration Number : 21DTEPK2854L1ZM

1. Legal Name Hashima Khan

2. Trade Name, if any BABA INSAAN ALI TRADERS

3. Constitution of Business Proprietorship

4. Address of Principal Place of Plot No 170/564, Kh No 161/98, Ward No 15, Khariar Road,
Business Nuapada, Odisha, 766104

5. Date of Liability

6. Period of Validity From 10/08/2021 To Not Applicable

7. Type of Registration Regular

8. Particulars of Approving Authority Odisha

Signature
Signature Not Verified
Digitally signed by DS GOODS AND
SERVICES TAX NETWORK(4)
Date: 2021.08.10 12:00:53 IST

Name PRADEEP KUMAR SARAP

Designation Additional CT & GST Officer

Jurisdictional Office Nuapada Circle

9. Date of issue of Certificate 10/08/2021

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 10/08/2021 by
the jurisdictional authority.
 Annexure A

GSTIN 21DTEPK2854L1ZM

Legal Name Hashima Khan

Trade Name, if any BABA INSAAN ALI TRADERS

Details of Additional Places of Business

Total Number of Additional Places of Business in the State 0

 Annexure B

GSTIN 21DTEPK2854L1ZM

Legal Name Hashima Khan

Trade Name, if any BABA INSAAN ALI TRADERS

Details of Proprietor

1 Name Hashima Khan

Designation/Status Proprietor

Resident of State Odisha