ANNEXURE-VII
Department of ———–
Government of ———–
Form GST –
[See Rule — ]
Refund Claim Form under —- Goods & Services Tax Act, —–
[To be used only by Embassies, International and Public Organisations and their Officials]
| 1. Registration No. |
| 2. Tax Period for which refund claimed | From | To | ||||||||||||||||
| d | d | mm | y | y | d | d | mm | yy | ||||||||||
| 3. Full Name of Embassy / Organisation /
|
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| 4. Address of Embassy /
Organisation
|
Building Name/ Number | ||||||||||||||
| Area/ Road | |||||||||||||||
| Locality/ Market | |||||||||||||||
| Pin Code | |||||||||||||||
| Email Id | |||||||||||||||
| Telephone Number | |||||||||||||||
| Fax Number | |||||||||||||||
| 5. Entry Number of —- Schedule under which the applicant is eligible to claim refund |
| 6. Amount of refund claimed (Rs.)
(As per invoice detail provided below) |
IGST | CGST | SGST | |||||||||
- Details of purchases of tax paid goods in respect of which refund of tax is sought
| Sr. No. | Invoice date | Invoice No. | Supplier’s GSTIN | Supplier’s Name | Value / Price (excluding tax) | Tax (Rs.) | ||
| IGST | CGST | SGST | ||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |
| Total |
| 8. Details of Bank Account in which refund should be remitted
|
Bank Account Number | ||||||||||||||
| Bank Account Type | |||||||||||||||
| Operated in the name of | |||||||||||||||
| MICR / IFSC | |||||||||||||||
| Name of Bank | |||||||||||||||
| Address of Branch |
- 9. Verification
I/We __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my/our knowledge and belief and nothing has been concealed therefrom.
Signature of Authorised Signatory ______________________________________
Full Name (first name, middle, surname) ______________________________________
Designation / Status ______________________________________
| Place |
| Date |
|
|
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| Day | Month | Year | ||||||||