THE ODISHA GOODS AND SERVICES TAX FORMS 2017
ASSESSMENT

Form GST ASMT - 08

[See rule 98(6)]

Application for Withdrawal of Security

1. GSTIN

2. Name

3. Details vide which security furnished

ARN

Date

4. Details of the security to be withdrawn

Sr. No.	Mode	Reference no. / Debit entry no. (for cash payment)	Date	Amount	Name of Bank
1	2	3	4	5	6

5. Verification-

I__________________hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Signature of Authorized Signatory
Name
Designation / Status -
Date -