The document declares that [name of authorized signatory] is authorized to act as an authorized signatory for [name of business] which is applying for or has registered for a GSTIN number under the Goods and Service Tax Act, 20__. It is signed by the [partners/directors/members of managing committee] of the business designating [name] as the authorized signatory, and [name] signs accepting the role of authorized signatory whereby their actions will be binding on the business.

1. Declaration for Authorised Signatory
I/We :-
S.
No.
Name of Partners / Directors / Members of Managing Committee
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__.
Signatures
S. No Name of
Partners/Directors/Members of
Managing Committee
Designation/status Signature
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.Signature of Authorised Signatory
Designation/Status
Date :-
Place:-