1[FORM SBY-04
Acknowledgment
Applicant’s Name:
SBY-UIN:
Acknowledgement Number :
Applicant’s Name :
Your application for reimbursement is hereby acknowledged against
| Reimbursement Claim Details | |||
| Claim Period | |||
| Date and Time of Filing |
|
||
| Amount Claimed | Central Tax | Integrated Tax (50% of the Integrated Tax paid) | Total |
Date:
Place:
(Signature of nodal officer)
Name of the nodal officer:
Designation of the nodal officer:]1
1. Inserted vide Circular No. 75/49/2018-GST dated 27-12-2018
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