FORM GST REG – 30
[See rule 25]
Form for Field Visit Report
Centre Jurisdiction (Ward / Circle/Zone)
| Name of the Officer:- <<to be prefilled>> Date of Submission of Report:- Name of the taxable person GSTIN/UIN – Task Assigned by:- <Name of the Authority – to be prefilled> Date and Time of Assignment of task:-< System date and time> |
| Sr. No. | Particulars | Input |
| 1. | Date of Visit | |
| 2. | Time of Visit | |
| 3. | Location details : Latitude North – Bounded By West – Bounded By | Longitude South – Bounded By East – Bounded By |
| 4. | Whether address is same as mentioned in application. | Y / N |
| 5. | Particulars of the person available at the time of visit | |
| (i) | Name | |
| (ii) | Father’s Name | |
| (iii) | Residential Address | |
| (iv) | Mobile Number | |
| (v) | Designation / Status | |
| (vi) | Relationship with taxable person, if applicable. | |
| 6. | Functioning status of the business | Functioning – Y / N |
| 7. | Details of the premises | |
| Open Space Area (in sq m.) – (approx.) Covered Space Area (in sq m.) – (approx.) Floor on which business premises located | ||
| 8. | Documents verified | Yes / No |
| 9. | Upload photograph of the place with the person who is present at the place where site verification is conducted. | |
| 10 | Comments (not more than < 1000 characters> Signature Place: Name of the Officer: Date: Designation: Jurisdiction: |