FORM-GST-RFD-04

[See rule 91(2)]

Sanction Order No: Date;<DD/MM/YYYY>

To

____________ (GSTIN)

_____________ (Name)

______________ (Address)

Refund Application Reference No. (ARN) ……………Dated……..<DD/MM/YYYY>……-Acknowledgement No………..Dated………..<DD/MM/YYYY>…….

Sir/Madam,

With reference to your above mentioned application for refund, the following amount is sanctioned to you on a provisional basis:

Date:

place:

Signature (DSC)

Name:

Designation:

Office Address:

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