ANNEXURE-VII - Form GST - Refund Claim Form - To be used only by Embassies, International and Public Organisations and their Officials - Report on - Business Processes for GST on Refund Process - [August 2015]

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

dd

mm

yy

dd

mm

yy

 

3. Full Name of Embassy/Organization

 

4.Address of Embassy/organization

Building Name/ Number

Area/ Road

Locality/ Market

Pin Code

Email id

Telephone Number

Fax No.

 

5.  Entry Number of ---- Schedule under which the applicant is eligible to claim refund

7. 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	Date	Month	Year