THE MAHARASHTRA GOODS AND SERVICES TAX, 2017 FORMS
REGISTRATION

Form GST REG-04

[See Rule 9(2)]

Clarification/additional information/document

for <<Registration/Amendment/Cancellation>>

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 Authorized 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.