SUBMISSION OF GST REGISTRATION NUMBER

Date D D / M M / Y Y Y Y

Customer ID Account No.

Customer Name

Customer Type Export Oriented Unit (EOU) Special Economic Zone (SEZ) Overseas
(select one) Government Software Technology Park (STP) General
Electronic Hardware Technology Park (EHTP)

Details of GST Registration Number(s) Note: Additional form is to be filled in case there are more than 8 GSTIN Registration Nos.

1. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

2. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

3. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

4. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

Want to know more about GST? Log on to www.yesbank.in/yes-gst

 5. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

6. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

7. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

8. State / Union Territory

GSTIN Registration No. Default GSTIN if multiple GSTINs in same state

Registered Address [Address registered as principal place of business under GST (For State)] All fields are mandatory

Address Line 1

Address Line 2

City PIN

State

Whether Unique Identification Number (UIN) has been granted Yes No

If Yes, please specify

Whether you are registered under Composition scheme Yes No

Seal and Signature: _______________________________ (To be signed by any one Authorized Signatory)

State Codes (for reference only)

01 - Jammu & Kashmir; 02 - Himachal Pradesh; 03 – Punjab; 04 – Chandigarh; 05 – Uttaranchal; 06 – Haryana; 07 – Delhi; 08 – Rajasthan; 09 - Uttar Pradesh; 10 – Bihar;
11 – Sikkim; 12 - Arunachal Pradesh; 13 – Nagaland; 14 – Manipur; 15 – Mizoram; 16 – Tripura; 17 – Meghalaya; 18 – Assam; 19 - West Bengal; 20 – Jharkhand; 21 – Odisha; 22 –
Chhattisgarh; 23 - Madhya Pradesh; 24 – Gujarat; 25 - Daman & Diu; 26 - Dadra & Nagar Haveli; 27 – Maharashtra; 29 – Karnataka; 30 – Goa; 31 – Lakshadweep;
32 – Kerala; 33 - Tamil Nadu; 34 – Pondicherry; 35 - Andaman & Nicobar Islands; 36 – Telangana; 37 - Andhra Pradesh

Want to know more about GST? Log on to www.yesbank.in/yes-gst