FORM GST PCT-061

[See rule 83B]

APPLICATION FOR CANCELLATION OF ENROLMENT AS GOODS AND
SERVICES TAX PRACTITIONER

1. GSTP Enrolment No.
2. Name of the GST Practitioner<Auto Populated>
3. Address<Auto Populated>
4. Date of effect of cancellation of enrolment

I hereby request for cancellation of enrolment as GST Practitioner for the reason(s) noted below:

1.

2.

3.

DECLARATION

The above declaration is true and correct to the best of my knowledge and belief. I undertake that I shall continue to be liable for my actions as GST Practitioner before such cancellation.

(SIGNATURE)

Place:

Date:]

1Inserted vide Notification no. 33/2019-CT dt. 18.07.2019 with effect from a date to be notified later

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