Form GST APL-04 A

[See rule 113(2)]

Summary of the order and demand after issue of order by the Goods and Services Tax Appellate Tribunal

Whether remand order: Yes / No

Order Reference no.-

Date of order –

1. GSTIN/Temporary ID/UIN –

2. Appeal Case Reference no. –

3. Name of the appellant –

4. Name of the Respondent –

5. Order appealed against –

Date: –

a) Order Type –Demand, Registration, Refund, Enforcement, Refund & Others

b) Ref Number – Date –

6. Personal Hearing –(All hearing dates)

7. Status of Order under Appeal-Confirmed/Modified/Rejected

Confirmed –Order under Appeal is confirmed

Modified –Order under Appeal is modified

Rejected –Order under Appeal is annulled

8. Order in brief: (Free text, Max 2500 characters)–

9. If demand order, then whether demand quantified: (Yes/No)

(If the answer is YES, the demand quantified as follows:)

Section – I

A form titled 'GST APL-04 A' summarizing orders and demands from the Goods and Services Tax Appellate Tribunal, featuring a table to fill in amounts for various tax categories: Central tax, State/UT tax, Integrated tax, and Cess, along with sections for disputed and determined amounts.

Section -II

A table from Form GST APL-04 A summarizing order details including place of supply, demand amounts, tax, interest, penalty, and total for a GST appeal.

10. For Other orders and Demand orders which are not quantified

Table for recording issues raised by a proper officer, determined issues by Appellate/Revisional authority, and orders by GST Appellate Tribunal.

11. If remanded with directions:

a) Remanded to: (specify authority to whom remanded. Adjudicating Authority, Appellate authority, Revisional authority, any other)

b) Directions subject to which remanded, if any: (Free text, Max 1000 words)

Section-III (Anti-profiteering)

12. Order In brief: (Drop -Down Values)

a) Reduction in Price

b) Return to Recipient of Amount not passed on, along with interest

c) Deposit in Consumer Welfare Fund/s

d) Penalty Imposed (Amount to be specified)

e) Cancellation of Registration

Place:

Date:

Signature:

Designation:

Jurisdiction:”

13. In the said rules, for FORM GST APL-05, the following Form shall be substituted, namely: —