GST REG - 04, Integrated Tax (GST-FORMS)

1. Notice details Reference No. Date 2. Application details Reference No Date 3. GSTIN, if applicable 4. Name of Business (Legal) 5. Trade name, if any 6. Address 7. Whether any modification in the application for registration or fields is required.- Yes __ No __ (Tick one) 8. Additional Information 9. List of Documents uploaded 10. Verification I ____________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. Signature of Authorised Signatory Name Designation/Status: Place: Date: Note:- 1. For new registration, original registration application will be available in editable mode if option ‘Yes’ is selected in item 7. 2.For amendment of registration particulars, the fields intended to be amended will be available in editable mode if option ‘Yes’ is selected in item 7.