(Amended)
Government of India
Form GST REG-06
[See Rule 10(1)]
Registration Certificate
Registration Number :21AAFAS4209K2ZM
1. Legal Name SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
2. Trade Name, if any SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
3. Constitution of Business Society/ Club/ Trust/ AOP
4. Address of Principal Place of NUA SASAN, PIPILI, NUA SASAN, Puri, Odisha, 752104
Business
5. Date of Liability
6. Date of Validity From 07/03/2018 To Not Applicable
7. Type of Registration Regular
8. Particulars of Approving Authority Centre Goods and Services Tax Act, 2017
Signature
Name Naveen Kumar
Designation Superintendent
Jurisdictional Office Puri Circle
9. Date of issue of Certificate 16/02/2021
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 16/02/2021 by
the jurisdictional authority.
Annexure A
Details of Additional Place of Business(s)
GSTIN 21AAFAS4209K2ZM
Legal Name SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
Trade Name, if any SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
Total Number of Additional Places of Business(s) in the State 0
Annexure B
GSTIN 21AAFAS4209K2ZM
Legal Name SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
Trade Name, if any SRI SRI LAXMINRUSINGHA DEV PANI PANCHAYAT
Details of Members of Managing Committee
1 Name DUSHASAN NANDA
Designation/Status PRESIDENT
Resident of State Odisha
2 Name HEMANT KUMAR NANDA
Designation/Status PRESIDENT
Resident of State Odisha