FORM GST INS-03
ORDER OF PROHIBITION
[See rule 139(4)]
Whereas an inspection under sub-section (1)/search under sub-section (2) of Section 67 was conducted on / / at : AM/PM in the following premise(s):
<<Details of premises>> which is/are a place/places of business/premises belonging to:
<<Name of Person>>
<<GSTIN, if registered>>
in the presence of following witness(es):
1. <<Name and address>>
2. <<Name and address>>
and on scrutiny of the books of accounts, registers, documents / papers and goods found during the inspection/search, I have reasons to believe that certain goods liable to confiscation and/or documents and/or books and/or things useful for or relevant to proceedings under this Act are secreted in place(s) mentioned above.
Therefore, in exercise of the powers conferred upon me under sub-section (2) of section 67, I hereby order that you shall not/shall not cause to remove, part with, or otherwise deal with the goods except without the previous permission of the undersigned:
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Sr. No |
Description of goods |
Quantity or units |
Make/mark or model |
Remarks |
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1 |
2 |
3 |
4 |
5 |
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Place:
Name and Designation of the Officer
Date:
Signature of the Witnesses
Name and Designation of the Officer
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Name and address |
Signature |
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1. |
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2. |
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To:
<<Name and address>>
which is/are a place/places of business/premises belonging to:
in the presence of following witness(es):
and on scrutiny of the books of accounts, registers, documents / papers and goods found during the inspection/search, I have reasons to believe that certain goods liable to confiscation and/or documents and/or books and/or things useful for or relevant to proceedings under this Act are secreted in place(s) mentioned above.
Therefore, in exercise of the powers conferred upon me under sub-section (2) of section 67, I hereby order that you shall not/shall not cause to remove, part with, or otherwise deal with the goods except without the previous permission of the undersigned:
| Sr. No | Description of goods | Quantity or units | Make/mark or model | Remarks |
| 1 | 2 | 3 | 4 | 5 |
and these goods and or things are being handed over for safe upkeep to:
with a direction that he shall not remove, part with, or otherwise deal with the goods or things except with the previous permission of the undersigned.
Place:
Name and Designation of the Officer
Date:
Signature of the Witnesses
| Name and address | Signature | |
| 1. | ||
| 2. |
To:
<Name and address>
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