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FORM GST REG-12

Order of Grant of Temporary Registration/ Suo Moto Registration

2[FORM GST REG-12

[See rule16(1), 16A]

 Reference Number -                                                                 Date:

 To (Name):

(Address):

Temporary Registration Number/Temporary Identification Number

Order of Grant of Temporary Registration/Suo Moto Registration/ Temporary Identification Number

Whereas the undersigned has sufficient reason to believe that you are liable for registration under the Act, and therefore, you are hereby registered on a temporary basis. The particulars of the business as ascertained from the business premises are given as under:

PART A

Details of person to whom temporary registration granted

1. Name and Legal Name, if applicable  
2. Gender Male/Female/Other
3. Father’s Name  
4. Date of Birth DD/MM/YYYY
5. Address of the Person Building No./Flat No.  
Floor No.
Name of Premises/ Building
Road/ Street
Town/City/Locality/Village
Block/ Taluka
District
State
PIN Code
6.

Permanent Account Number of the person, if available

 
7. Mobile No.  
8. Email Address

 

 

 

9.

 

 

Other ID, if any

(Voter ID No./ Passport No./ Driving License No./ Aadhaar No./Other)

 

 
10.

 

Reasons for temporary registration

 

 
11.

 

Effective date of registration/ temporary ID

 

 
12.

 

Registration No. /Temporary ID

 

 

13. Details of Bank Accounts (s) [Optional]

Total number of Bank Accounts maintained by the applicant (Upto 10 Bank Accounts to be reported)

Details of Bank Account 1

Account

Number

                               

Type of

Account

  IFSC
Bank Name  
Branch Address To be auto-populated (Edit mode)

Note – Add more bank accounts.

(Upload of Seizure Memo /Detention Memo/ Any other supporting documents) 

<< You are hereby directed to file application for proper registration within ninety days of the issue of this order>> 

Signature

Place

Date:

Designation/Jurisdiction: 

Note: A copy of the order will be sent to the corresponding Central/ State Jurisdictional Authority. 

PART B

Whereas the undersigned has sufficient reason to believe that you are liable to make any payment under the Act, and therefore, you are hereby granted a temporary identification number as per the following details:

Details of person to whom temporary identification number has been granted
1. Name and Legal Name, if applicable  
2. Gender Male/Female/Other
3. Father’s Name  
4. Date of Birth DD/MM/YYYY
5. Address of the Person Building No./ Flat No.  
Floor No.
Name of Premises/ Building
Road/ Street
Town/City/Locality/Village
Block/ Taluka
District
State
PIN Code
6. Permanent Account Number of the person, if available  
7. Mobile No.  
8. Email Address  
9.

Other ID, if any

(Voter ID No./ Passport No./ Driving License No./ Aadhaar No./Other)

 
10. Effective date of temporary ID  
11. Temporary ID  

12. Details of Bank Accounts (s) [Optional]

Total number of Bank Accounts maintained by the applicant (Upto 10 Bank Accounts to be reported)  

Details of Bank Account

Account

Number

                               

Type of

Account

  IFSC
Bank Name  
Branch Address To be auto-populated (Edit mode)

Note – Add more bank accounts.

Place:

Date: 

Signature

Designation/Jurisdiction: 

Note: A copy of the order will be sent to the corresponding Central/ State Jurisdictional Authority.]2

 


Notes:

1. Inserted (w.e.f. 28.6.2019) vide Notification No. 31/2019 – Central Tax dated 28-06-2019

2. Substituted (w.e.f. a date yet to be notified) vide Notification No. 07/2025-Central Tax dated 23-01-2025 for

"Form GST REG-12

[See rule 16(1)]

Reference Number –

Date:

To

(Name):

(Address):

Temporary Registration Number

Order of Grant of Temporary Registration/ Suo Moto Registration

Whereas the undersigned has sufficient reason to believe that you are liable for registration under the Act, and therefore, you are hereby registered on a temporary basis. The particulars of the business as ascertained from the business premises are given as under:

Details of person to whom temporary registration granted
1. Name and Legal Name, if applicable  
2. Gender Male/Female/Other
3. Father’s Name  
4. Date of Birth DD/MM/YYYY
5. Address of the Person Building No./ Flat No.  
Floor No.
Name of Premises/ Building
Road/ Street
Town/City/Locality/ Village
Block / Taluka
District
State
PIN Code
6. Permanent Account Number of the person, if available  
7. Mobile No.  
8. Email Address  
9.

Other ID, if any

(Voter ID No./ Passport No./Driving License No./ Aadhaar No./ Other)

 
10. Reasons for temporary registration  
11. Effective date of registration / temporary ID  
12. Registration No. / Temporary ID  
1[13. Details of Bank Accounts (s) [Optional]  
 Total number of Bank Accounts maintained by the applicant (Upto 10 Bank Accounts to be reported) 
  Details of Bank Account 1
 
Account Number                               
Type of Account      IFSC 
Bank Name  
Branch Address To be auto-populated (Edit mode) 
Note-Add more bank accounts]1

(Upload of Seizure Memo / Detention Memo / Any other supporting documents)

<>

Signature

<< Name of the Officer>>

Designation/ Jurisdiction:

PlaceDate:

Note: A copy of the order will be sent to the corresponding Central/ State Jurisdictional Authority."