The Orissa Value Added Tax Rules, 2005 FORMS
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FORM VAT-323

APPLICATION FOR REFUND TO FOREIGN DIPLOMATIC MISSIONS / CONSULATES, UNITED NATIONS ORGANISATIONS AND OTHER INTERNATIONAL BODIES (SUBSTITUTED BY FORM 323A W.E.F. 03-03-2014)

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

01. Office Address

D	D		M	M		Y	Y	Y	Y
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O2. Name of the organization

03. Address

04. Period to which the claim relates

05. Amount of claim of refund

06. Details of purchases 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

Place:

Dated the ___________________

Authorised Officer

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Note : Please enclose copy of the letter of authorisation.