Government of India
Form GST REG-06
[See Rule 10(1)]
Registration Certificate
Registration Number : 29IKJPK0804F1Z5
1. Legal Name SHAGUFTA KHAN
x
2. Trade Name, if any NEXUS PACK
Ta
3. Additional trade names, if
any
4. Constitution of Business Proprietorship
es
5. Address of Principal Place of Floor No.: 1ST FLOOR
Business Building No./Flat No.: HILL GARDEN APPARTMENT
Name Of Premises/Building: Station Road
ic
Road/Street: 2nd Cross Road
Locality/Sub Locality: Malmaddi
rv
City/Town/Village: Dharwad
District: Dharwad
State: Karnataka
Se
PIN Code: 580001
d
an
6. Date of Liability
7. Period of Validity From 13/03/2025 To Not Applicable
8. Type of Registration
ds
Regular
9. Particulars of Approving Karnataka
oo
Signature
Signature Not Verified
G
Digitally signed by DS GOODS AND
SERVICES TAX NETWORK 15
Date: 2025.03.13 14:15:38 IST
Name ISHWARI MARUTI PUJAR
Designation Assistant Commissioner
Jurisdictional Office LGSTO 310 - Dharwad
Date of issue of Certificate 13/03/2025
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 13/03/2025 by the jurisdictional authority.
Annexure A
Goods and Services Tax Identification Number: 29IKJPK0804F1Z5
Details of Additional Place of Business(s)
Legal Name SHAGUFTA KHAN
x
Trade Name, if any NEXUS PACK
Ta
Total Number of Additional Places of Business in the State 0
es
ic
rv
Se
d
an
ds
oo
G
Annexure B
Goods and Services Tax Identification Number: 29IKJPK0804F1Z5
Legal Name SHAGUFTA KHAN
Trade Name, if any NEXUS PACK
x
Ta
Details of Proprietor
1 Name SHAGUFTA KHAN
Designation/Status PROPRIETOR
es
Resident of State Karnataka
ic
rv
Se
d
an
ds
oo
G