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Forms - Seva Bhoj Yojana
FORM SBY-05

Order sanctioning/rejecting claim of reimbursement

1[FORM SBY-05

Order sanctioning/rejecting claim of reimbursement 

Order No:

Date:

To

___________ (SBY-UIN)

___________ (Name of institution)

____________ (Address)

Acknowledgement No.Dated………< DD/MM/YYYY >

Order for reimbursement/rejection under the Seva Bhoj Yojna Scheme

Sir/Madam,

This has reference to your application for reimbursement of tax under the Seva Bhoj Yojna Scheme.

Upon examination of your application, the amount of reimbursement sanctioned to you is as follows:

Sl. No. Description Central Tax Integrated Tax  (50% of the Integrated Tax paid) Total
1. Amount claimed      
2. Amount sanctioned      
3. Amount rejected       
4. Reason(s) for rejection, if any  
5. Net amount to be paid to the claimant      

I hereby sanction an amount of Rs. _________ to  M/s___________having SBY-UIN as the amount of central tax and centre’s share of integrated tax to be  reimbursed under the Seva Bhoj Yojna Scheme, out of a total amount of Rs. _______ claimed vide application no. __________ received in this office on ______________, for the claim period ________________. The amount payable will be debitable to the Functional Head ‘************’  under Grant No….. of Ministry of Culture for the Financial Year……………, under which the budget has been authorized by the Ministry of Culture to the Central Board of Indirect Taxes and Customs, Department of Revenue, Ministry of Finance.

I hereby reject an amount of Rs. _________  from the said claim amount for reasons elaborated at Sl. No. 4 of the table above. 

Date: 

Place:

Signature :

Name:

Designation:

Office Address: ]1