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FORM ST-2 Shri/Ms. Ayurvedic Lifestyle Clinic,Khasra No - 208, G/f, Min 1-2, 146/2, Neb Vallynear, Delhi - 110062 having undertaken to comply with the conditions prescribed in Chapter V of the Finance Act,1994 read with the Service Tax Rules,1994,and any orders issued thereunder is hereby certified to have been registered with the Central Excise Department.The Service Tax Code and other details are mentioned hereunder. Name : Address : PAN No : Name as in PAN : Nature of registration : Service Tax Code(Registration Number) : Taxable services :

Ayurvedic Lifestyle Clinic Khasra No - 208, G/f, Min 1-2, 146/2, Neb Vallynear, Delhi - 110062 BQXPK0490C ANIL KUMAR Registration of a single premise BQXPK0490CSD002 Health club and fitness centre service, Beauty parlours /beauty treatment, Health services by a clinical establishment, health check-up/diagnosis , etc.

ADDRESS OF BUISNESS PREMISES Name Of Premises/Building : Ayurvedic Lifestyle Clinic Road / Street / Lane : Block / Taluk / Sub-Division / Delhi Town : City / District : New Delhi PIN : 110062 Phone Number-2 : Fax Number 2 : Premises Code : SE0206A001 Sl No Types of Services

Flat / Door / Block No : Khasra No 208, g/f Min 1-2, 146/2 Village / Area / Lane : Neb Vallynear Post Office : Saket State / Union Territory : DELHI Phone Number-1 : 9313908750 Fax Number-1 : Email Address : ak.292007@gmail.com Accounting Codes Tax Collection

1 Health club and fitness centre service 2 Beauty parlours /beauty treatment 3 Health services by a clinical establishment, health check-up/diagnosis , etc.

Other Receipts Penalties (Interest) 00440205 00440206 00441358 00440209 00440210 00441361 00440598 00440599 00441471

CESSES 1 EDUCATION CESS 2 SECONDARY AND HIGHER EDUCATION CESS

00440298 00440299 00440426 00440427

00441486 00441487

Note : 1. In case the registrant starts providing any other taxable service (other than those mentioned above), he shall intimate the department. 2. In case the registrant starts billing from other premises (other than those mentioned above), he shall intimate the department. 3. These intimations and any other information which registrant wishes to bring to the notice of the department can be submitted on-line by the registrant after logging on to web-site. 4. This registration certificate is not transferable. 5. List of Accounting Codes is Enclosed.These may invariably be furnished in the challan at the time of making payment of service tax.

Date of Issue of Original ST-2 : 29/04/2013

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Name and Signature of Central Excise Officer With Official Seal CC ( by e-mail ) To (1) The Pay And Accounts Officer (SERVICE TAX - DELHI) (2) The Superintendent of Central Excise (RANGE-XVI)

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