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