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Government of India / <<State >> Government Department of ------- Form GST REG-20 [See Rule ------] Application for Enrolment of Existing Taxpayer Taxpayer Details 1. Provisional ID 2. Legal Name (As per PAN ) 3. Legal Name (As per State/Center) 4. Trade Name 5. PAN of the Business 6. Constitution 7. State 7A Sector, Circle, Ward, etc. as applicable 7B. Center Jurisdiction 8. Reason of liability to obtain Registration Registration under earlier law 9. Existing Registrations Sr. No. Type of Registration Registration Number Date of Registration 1 State VAT Registration 2 CST Registration No. 3 Service Tax Registration 4 Central Excise Registration 5 IEC No. (Importer Exporter Code) 6 Corporate / LLP Identity Number 10. Details of Principal Place of Business Building No. /Flat No. Floor No 53 P age

Name of the Premises/Building Locality/Village State Latitude Road/Street City / District PIN Code Longitude Contact Information Office Email Address Mobile Number 10A.Nature of Possession of Premises Office Telephone Number Office Fax No (Own; Leased; Rented; Consent; Shared) 10B.Nature of Business Activities being carried out Factory / Manufacturing Wholesale Business Retail Business Warehouse/Depot Bonded Warehouse Service Provision Office/Sale Office Leasing Business Service Recipient EOU/ STP/ EHTP SEZ Input Service Distributor (ISD) Works Contract 11. Details of Additional Places of Business Building No/Flat No Name of the Premises/Building Locality/Village State Latitude Floor No Road/Street City/ District PIN Code Longitude Contact Information Office Email Address Mobile Number 11A.Nature of Possession of Premises Office Telephone Number Office Fax No (Own; Leased; Rented; Consent; Shared) 11B.Nature of Business Activities being carried out Factory / Manufacturing Wholesale Business Retail Business Warehouse/Depot Bonded Warehouse Service Provision Office/Sale Office Leasing Business Service Recipient EOU/ STP/ EHTP SEZ Input Service Distributor 54 P age

(ISD) Works Contract Add More -------- 12. Details of Goods/ Services supplied by the Business Sr. No. Description of Goods HSN Code Sr. No. Description of Services Service Accounting Code 13. Total Bank Accounts maintained by you for conducting Business Sr. No. Account Number Type of Account IFSC Bank Name Branch Address 14. Details of Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc. Name Name of Father/Husband <First Name> <First Name> <Middle Name> <Middle Name> <Last Name> <Last Name> <Photo> Date of Birth DD/ MM/ YYYY Gender <Male, Female, Other> Mobile Number Email Address Telephone Number Identity Information Designation PAN Director Identification Number Aadhaar Number Are you a citizen of India? <Yes/No> Passport Number Residential Address Building No/Flat No Name of the Premises/Building Floor No Road/Street 55 P age

Locality/Village State City/ District PIN Code 15. Details of Primary Authorized Signatory Name <First Name> <Middle Name> <Last Name> Name of Father/Husband <First Name> Date of Birth DD / MM / YYYY <Middle Name> Gender <Last Name> <Male, Female, Other> <Photo> Mobile Number Email Address Telephone Number Identity Information Designation PAN Director Identification Number Aadhaar Number Are you a citizen of India? <Yes/No> Passport Number Residential Address Building No/Flat No Name of the Premises/Building Locality/Village State Floor No Road/Street City/ District PIN Code Add More --- List of Documents Uploaded A customized list of documents required to be uploaded as per the field values in the form should be auto-populated with provision to upload relevant document against each entry in the list. (Refer instruction) 16. Aadhaar Verification I on behalf of the holders of Aadhaar numbers provided in the form, give consent to Goods and Services Tax Network to obtain details from UIDAI for the purpose of authentication. Goods and Services Tax Network has informed me that identity information would only be used for validating identity of the Aadhaar holder and will be shared with Central Identities Data Repository only for the purpose of authentication. 17. Declaration I, hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. 56 P age

Digital Signature/E-Sign Name of the Authorized Signatory Designation of Authorized Signatory Place Date Instruction for filing Application for enrolment 1. Every person registered under an earlier law and who has provided a Permanent Account Number issued under the Income Tax Act, 1961 under that law shall be granted registration on a provisional basis. 2. Every person who has been granted a provisional registration shall furnish the information electronically by filing application along with such documents as specified in the said application, on the Common Portal either directly or through a Facilitation Centre, notified by the Board or Commissioner. 3. The information can be uploaded on the Common Portal by logging on the portal with provisional identity and password provided to the taxpayers. 4. If the information and the particulars furnished in the application are found, by the proper officer, to be correct and complete, the provisional registration granted under sub-rule --- of rule --- shall be confirmed. 5. If the particulars and/or information specified have either not been furnished or not found to be correct and complete, the proper officer shall cancel the provisional registration granted under sub-rule --- of rule --- after giving an opportunity of being heard. 6. Certificate of registration, incorporating the Goods and Service Tax Identification Number (GSTIN) therein, shall be made available on the Common Portal. 7. Every person registered under any of the earlier laws, who is not liable to register under the Act may, at his option, file electronically an application at the Common Portal for cancellation of the registration granted provisionally to him and the proper officer shall, after such enquiry as may be deemed fit, cancel the said provisional registration. 8. Authorization Form:- For each Authorised Signatory mentioned in the application form, Authorization or copy of Resolution of the Managing Committee or Board of Directors to be filed in the following format: Declaration for Authorised Signatory (Separate for each signatory) I/We --- (Details of Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc) 1. << Name of the Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc>> 2. 3. hereby solemnly affirm and declare that <<name of the authorized signatory>> to act as an authorized signatory for the business << GSTIN - Name of the Business>> for which application for registration is being filed/ is registered under the Goods and Service Tax Act, 20. All his actions in relation to this business will be binding on me/ us. 57 P age

Signatures of the persons who are Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc. S. No. Full Name Designation/Status Signature 1. 2. Acceptance as an authorized signatory I <<(Name of the authorized signatory>> hereby solemnly accord my acceptance to act as authorized signatory for the above referred business and all my acts shall be binding on the business. Date Place Signature of Authorised Signatory Designation/Status Instruction for filing online form:- Enter your Provisional ID and password as provided by the State VAT/Central Excise/Service Tax Department for log in on the GST Portal. Correct Email address and Mobile number of the Primary Authorised Signatory are to be provided. The Email address and Mobile Number would be filled as contact information of the Primary Authorised Signatory. E mail and Mobile number to be verified by separate One Time Passwords. Taxpayer shall change his user id and password after first login. Taxpayer shall require to fill the information required in the application form related details of Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees, Principal Place of Business and details in respect of Authorised signatories. Information related to additional place of business, Bank account, commodity in respect of goods and services dealt in (top five) are also required to be filled. Applicant need to upload scanned copy of the declaration signed by the Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc. in case he/she declares a person as Authorised Signatory as per Annexure specified. Documents required to be uploaded as evidence are as follows:- 1. Photographs wherever specified in the Application Form (maximum 10) Proprietary Concern Proprietor Partnership Firm / LLP Managing/ Authorized Partners (personal details of all partners is to be submitted but photos of only ten partners including that of Managing Partner is to be submitted) HUF Karta Company Managing Director or the Authorised Person Trust Managing Trustee 58 P age

Association of Person or Body of Individual Members of Managing Committee (personal details of all members is to be submitted but photos of only ten members including that of Chairman is to be submitted) Local Body CEO or his equivalent Statutory Body CEO or his equivalent Others Person in Charge 2. Constitution of Taxpayer: Partnership Deed in case of Partnership Firm, Registration Certificate/Proof of Constitution in case of Society, Trust, Club, Government Department, Association of Person or Body of Individual, Local Authority, Statutory Body and Others etc. 3. Proof of Principal/Additional Place of Business: (a) For Own premises Any document in support of the ownership of the premises like Latest Property Tax Receipt or Municipal Khata copy or copy of Electricity Bill. (b) For Rented or Leased premises A copy of the valid Rent / Lease Agreement with any document in support of the ownership of the premises of the Lessor like Latest Property Tax Receipt or Municipal Khata copy or copy of Electricity Bill. (c) For premises not covered in (a) & (b) above A copy of the Consent Letter with any document in support of the ownership of the premises of the Consenter like Municipal Khata copy or Electricity Bill copy. For shared properties also, the same documents may be uploaded. 4 Bank Account Related Proof: Scanned copy of the first page of Bank passbook / one page of Bank Statement Opening page of the Bank Passbook held in the name of the Proprietor / Business Concern containing the Account No., Name of the Account Holder, MICR and IFSC and Branch details. 5 For each Authorised Signatory: Letter of Authorization or copy of Resolution of the Managing Committee or Board of Directors to that effect as specified. After submitting information electronic signature shall be required. Following person can electronically sign application for enrolment:- Constitution of Business Proprietorship Partnership Hindu Undivided Family Private Limited Company Public Limited Company Society/ Club/ Trust/ AOP Person who can digitally sign the application Proprietor Managing / Authorized Partners Karta Managing / Whole-time Directors and Key Managerial Persons Managing / Whole-time Directors and Key Managerial Person Members of Managing Committee 59 P age

Government Department Public Sector Undertaking Unlimited Company Limilted Liability Partnership Local Authority Statutory Body Foreign Company Foreign Limited Liability Partnership Others Person In charge Managing / Whole-time Director and Key Managerial Person Managing/ Whole-time Director and Key Managerial Person Designated Partners Chief Executive Officer ( CEO) or Equivalent Chief Executive Officer ( CEO) or Equivalent Authorized Person in India Authorized Person in India Person In charge Application is required to be mandatorily digitally signed as per following :- Sl. No Type of Applicant Digital Signature required 1. Private Limited Company Public Limited Company Public Sector Undertaking Unlimited Company Limited Liability Partnership Foreign Company Foreign Limited Liability Partnership Digital Signature Certificate(DSC) 2. Other than above Digital Signature Certificate e-signature Note :- 1. Applicant shall require to register their DSC on Common portal. 2. e-signature facility will be available on the common portal for Aadhar holders. All information related to PAN, Aadhaar, DIN, CIN, LLPIN shall be online validated by the system and Acknowledgment Reference Number will be generated after successful validation of all the filled up information. Status of the online filed Application can be tracked on the Common Portal. 1. Authorised signatory should not be minor. 2. No fee is applicable for filing application for enrolment. 60 P age

Acknowledgement Enrolment Application - Form GST- has been filed against Application Reference Number (ARN) < >. Form Number : <.- > Form Description : <Application for Enrolment of Existing Taxpayers> Date of Filing : <DD/MM/YYYY> Taxpayer Trade Name : Taxpayer Legal Name : Provisional ID Number : <Trade Name> <Legal Name as shared by State/Center> <Provisional ID Number> It is a system generated acknowledgement and does not require any signature 61 P age