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FORM GST REG-04

Clarification/additional information/document for (Registration/Amendment/Cancellation)

1[FORM GST REG-04

[See rules 9(2), 19(3) and 14A]

Clarification/additional information/document for

<< Registration/Amendment/Cancellation/Withdrawal >>

1.

Notice details

Reference No.

 

Date

 

2.

Application details

Reference No.

 

Date

 

3.

GSTIN/GSTP ID, if applicable

 

4.

Name of Business (Legal)

 

5.

Trade name, if any

 

6.

Address

 

7.

Whether any modification in the application for registration or fields is required.-

Yes

No

(Tick one)

8.

Additional Information

 

9.

List of Documents uploaded

 

10.

Verification

I ________________________hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Signature of Authorised

Signatory

Name

Designation/Status:

Place:

Date:

 

Note: -

1. For new registration, original registration application will be available in editable mode if option ‘Yes’ is selected in item 7.

2. For amendment of registration particulars, the fields intended to be amended will be available in editable mode if option “Yes” is selected in item 7.

3. For withdrawal from option availed under rule 14A, item 7 will be disabled.]1


Notes:

1. Substituted (w.e.f. 01-11-2025) vide Notification No. 18/2025 – Central Tax dated 31-10-2025

FORM GST REG-04

[See rule 9(2)]

Clarification/additional information/document for (Registration/Amendment/Cancellation)

1. Notice details Reference No.   Date  
2. Application details Reference No   Date  
3. GSTIN, if applicable  
4. Name of Business (Legal)  
5. Trade name, if any  
6. Address  
7. Whether any modification in the application for registration or fields is required.-

Yes

 

No

(Tick one)

8. Additional Information  
9. List of Documents uploaded  
10.

Verification

I __________________________________________ hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

                                                                                                                                   Signature of Authorised Signatory

                                                                                                                                                   Name

                                                                                                                                                   Designation/Status:

Place: 

Date:

Note:-

For new registration, original registration application will be available in editable mode if option ‘Yes’ is selected in item 7.

For amendment of registration particulars, the fields intended to be amended will be available in editable mode if option “Yes” is selected in item 7.