THE GUJARAT GOODS AND SERVICES TAX FORMS 2017
GOODS AND SERVICE TAX PRACTITIONER

Body

Form GST PCT-05

[See Rule 83(6)]

Authorisation / withdrawal of authorisation for Goods and Services Tax Practitioner

The authorized officer

Central Tax/State Tax.

PART-A

Sir/Madam

I/We <Name of the Proprietor/all Partners/Karta/Managing Directors and whole time

Director/Members of Managing Committee of Associations/Board of Trustees etc.) do hereby

1. *solemnly authorize,

2. *withdraw authorization of

----------- (Name of the Goods and Services Tax Practitioner), bearing Enrolment Number---- ---- for the purposes of Section 48 read with rule 24.Return to perform the following activities on behalf of -------- (Legal Name) bearing << GSTIN - >>:

Sr. No.	List of Activities	Check box
1.	To furnish details of outward supplies
2.	To furnish monthly, quarterly, annual or final return
3.	To make deposit for credit into the electronic cash ledger
4.	To file an application for claim of refund
5.	To file an application for amendment or cancellation of registration
6	To furnish information for generation of e-way bill
7	To furnish details of challan in FORM GST ITC-04
8	To file an application for amendment or cancellation of enrolment under rule 58
9	To file an intimation to pay tax under the composition scheme or withdraw from the said scheme.

2. The consent of the ---------- (Name of Goods and Services Tax Practitioner) is

attached herewith*.

*Strike out whichever is not applicable

	Signature of the authorized signatory
	Name
Date	Designation/Status
Place

Part -B

Consent of the Goods and Services Tax Practitioner

I <<(Name of the Goods and Services Tax Practitioner>>< Enrolment Number> do hereby solemnly accord my consent to act as the Goods and Services Tax Practitioner on behalf of ------ (Legal name), GSTIN ........ only in respect of the activities specified by ------ (Legal name), GSTIN........

	Signature
	Name
Date	Enrolment No