¹[FORM GST RFD-01 W

 [Refer Rule 90(5)]

Application for Withdrawal of Refund Application

1.  ARN:

2.  GSTIN:

3.  Name of Business (Legal):

4.  Trade Name, if any:

5.  Tax Period:

6.  Amount of Refund Claimed:

7.  Grounds for Withdrawing Refund Claim:

i.  Filed the refund application by mistake

ii.  Filed Refund Application under wrong category

iii.  Wrong details mentioned in the refund application

iv.  Others (Please Specify)

8.  Declaration: I/We hereby solemnly affirm and declare that the information given herein is true and correct to the best of my/ our knowledge and belief and nothing has been concealed therefrom. 

Place:

Date:

Signature of Authorised Signatory

Name

 Designation/ Status]₁