Application for refund by Canteen Stores Department (CSD) [See rule 95B]

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..... of the Document Invoice details / Debit Notes / Credit Notes Rate Taxable Value Amount of Tax Invoices/Credit Notes/Debit notes No. Date Value Integrated Tax Central Tax State Tax 1 2 3 4 5 6 7 8 9 10 Total refund applied for: Central Tax State/UT Tax Integrated Tax Total Total Total Total Total 8. Details of Bank Account: a. Bank Account Number b. Bank Account Type c. Name of the Bank d. Name of .....

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