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 |