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THE ODISHA GOODS AND SERVICES TAX FORMS 2017
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Body


FORM GST RFD-01 W

[Refer Rule 90(5)]

Application for Withdrawal of Refund Application

1 ARN:
2 GSTIN:
3 Name of Business (Legal):
4 Trade Name, if any:
5 Tax Period:
6 Amount of Refund Claimed:
7 Grounds for Withdrawing Refund Claim:
i. Filed the refund application by mistake
ii. Filed Refund Application under wrong category
iii. Wrong details mentioned in the refund application
iv. Others (Please Specify)
8 Declaration: I/We <Taxpayer Name> hereby solemnly affirm and declare that the information given herein is true and correct to the best of my/ our knowledge and belief and nothing has been concealed therefrom.

Date: Signature of Authorised Signatory
Place: Name:
  Designation/ Status".