Form for Submitting Refund Grievance to Department of Trade and Taxes

Refund pertains to DVAT or DGST :*
TIN Number :*
ARN :*

GSTIN Number :*
Taxpayer Name :*
Ward no :*
Contact no :*
User Type (Taxpayer/employee/Advocate/CA) :*
Name of authorized person (Taxpayer/employee/Advocate/CA) :*
Contact no of authorized person (Taxpayer/employee/Advocate/CA) :*
Refund application number :*
Refund amount claimed :*
Refund application period (quarter/month/year) :*
Date of refund application filing :*
Details of deficiency memo/ RFC-03 issued :
Details of SCN issued/ RFD-08 issued :
Grienvance description (Max. 250 words) :