Application for refund by Canteen Stores Department (CSD)

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..... received: GSTIN of Supplier Invoice/Debit Note/Credit Note details Rate Taxable Value Amount of tax No. Date Value Integrated Tax Central Tax State/ Union territory Tax .....

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..... refund applied for: Central Tax State /Union territory Tax Integrated Tax Total .....

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..... d belief and nothing has been concealed therefrom. I further declare that all the goods, in respect of which the refund is being claimed, have been received by us and that no refund has been claimed earlier against any of the invoices against which refund has been claimed in this application. Date: Signature of Authorised Signatory: Place: Name: Designation / Status Instruc .....

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