THE HARYANA GOODS AND SERVICES TAX FORMS 2017
REGISTRATION

Form GST REG-30

[See Rule 25]

Form for Field Visit Report

Center/State Jurisdiction (Ward/Circle/Zone)

Name of the Officer:- << to be prefilled>>

Date of Submission of Report:-

Name of the taxable person

GSTIN/UIN -

Task Assigned by:- < Name of the Authority- to be prefilled>

Date and Time of Assignment of task:- < System date and time>

Sr. No.	Particulars	Input
1.	Date of Visit
2.	Time of Visit
3.	Location details :
	Latitude	Longitude
	North - Bounded By	South - Bounded By
	West - Bounded By	East - Bounded By
4.	Whether address is same as mentioned in application.	Y / N
5.	Particulars of the person available at the time of visit
(i)	Name
(ii)	Father's Name
(iii)	Residential Address
(iv)	Mobile Number
(v)	Designation / Status
(vi)	Relationship with taxable person, if applicable.
6.	Functioning status of the business	Functioning - Y / N
7.	Details of the premises
	Open Space Area (in sq m.) - (approx.)
	Covered Space Area (in sq m.) - (approx.)
	Floor on which business premises located
8.	Documents verified	Yes/No
9.	Upload photograph of the place with the person who is present at the place where site verification is conducted.

10. Comments (not more than < 1000 characters>