Form GST ARA -03

[See Rule 106(2)]

Appeal to the Appellate Authority for Advance Ruling

Sr. No. Particulars Remarks
1 Advance Ruling No.  
2 Date of communication of the advance ruling DD/MM/YYYY
3 GSTIN, if any / User id of the person who had sought advance ruling  
4 Legal Name of the person referred to in serial number 3.  
5 Name and designation of jurisdictional officer / concerned officer  
6 Email Address of jurisdictional officer / concerned officer  
7 Mobile number of jurisdictional officer / concerned officer  
8 Whether the jurisdictional officer / concerned officer wishes to be heard in person? Yes/No
9 Facts of the case (in brief)  
10 Grounds of Appeal  

In view of the foregoing, it is respectfully prayed that the Ld. Appellate Authority, <Place> may be pleased to:

a. set aside/modify the impugned advance ruling passed by the Authority for Advance Ruling as prayed above;

b.grant a personal hearing; and

c. pass any such further or other order (s) as may be deemed fit and proper in facts and circumstances of the case.


I,___________ (name in full and in block letters), son/daughter/wife of _____________ do hereby solemnly declare that to the best of my knowledge and belief what is stated above and in the annexure(s), including the documents are correct. I am making this application in my capacity as____________ (designation) and that I am competent to make this application and verify it.

  Name and designation of the concerned officer / jurisdictional officer