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Refund Claim Form (ANNEXURE-VII)

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 /

 

                         
                         

 

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
                       

 

 

 

 

  1. 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                            

 

  1. 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      

 

     

 

       
  Day Month Year

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