Form GST REG-29
[See rule 24(4)]
1-a[APPLICATION FOR CANCELATION OF REGISTRATION OF MIGRATED TAXPAYERS]1-a
Part A
| (i) 1-b[GSTIN]1-b | |||
| (ii) Email ID | |||
| (iii) Mobile Number | |||
| Part B | |||
| 1. Legal Name (As per Permanent Account Number) | |||
| 2. Address for correspondence | |||
| Building No./ Flat No. | Floor No. | ||
| Name of Premises/ Building | Road/ Street | ||
| City/Town/ Village/Locality | District | ||
| Block/Taluka | |||
| State | PIN | ||
| 3. Reason for Cancellation | |||
| 4. Have you issued any tax invoice during GST regime? YES__ NO__ | |||
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5. Declaration (i) I, being of do hereby declare that I am not liable to registration under the provisions of the Act. 6. Verification I < > hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed. |
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| Aadhaar Number | Permanent Account Number | ||
| Signature of Authorised Signatory | |||
| Full Name | |||
| Designation / Status | |||
| Place | |||
| Date | DD/MM/YYYY | ||
1-a. Substituted vide Notification No. 36/2017 – Central Tax dated 29-09-2017 for "APPLICATION FOR CANCELATION OF PROVISIONAL REGISTRATION"
1-b. Substituted vide Notification No. 36/2017 – Central Tax dated 29-09-2017 for "Provisional ID"
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