The Orissa Value Added Tax Rules, 2005 FORMS
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Body

Form VAT-323A

APPLICATION FOR REFUND TO FOREIGN DIPLOMATIC MISSION/ CONSULATE IN INDIA, UNITED NATIONS ORGANISATIONS AND OTHER INTERNATIONAL BODY

[see clause (a) of sub-rule (4) of Rule 65]

01. Office Address	D	D	M	M	Y	Y	Y	Y
01. Office Address
02. Name of the United Nations organization
03 Address	Email ID
04. Period to which the claim relates
05. Amount of claim of tax
06. Details of purchase on which refund claimed

Quarter	Bill No,/ Retail Invoice No.	Name and address of the dealer from whom purchased	TIN	Description of goods	Quantity	Tax exclusive value of the goods	Tax paid


Total
07.Bank details in which the refund claimed will be credited (if approved only)
Bank Name:
A/C Holder Name (to which the amount will be credited):
A/C No:				IFSC Code:

(The Bank details is mandatory otherwise the refund may not be approved)

Place .........................	Signature of authorized officer
Date .........................
	Seal