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FORM-GST-RFD-01 Application for Refund

FORM-GST-RFD-01 [see rule 89(1)] Application for Refund (Applicable for casual / non-resident taxable person, tax deductor, tax collector, un-registered person and other registered taxable person) 1. GSTIN/Temporary ID: 2. Legal Name: 3. Trade Name, if any: 4. Address: 5. Tax Period: Year: From <Year> <Month> To <Year> <Month> 6. Amount of Refund Claimed: Act Tax Interest Penalty Fees Others Total Central Tax State /UT Tax Integrated Tax Cess Total 7. Grounds of Refund Claim: (select from the drop down): (a) Excess balance in Electronic Cash ledger (b) Exports of services- With payment of Tax (c) Exports of goods / services- Without payment of Tax, , ITC accumulated (d) On account of assessment/provisional assessment/ appeal/ any other order (i) Select the type of Order: Assessment/ Provisional Assessment/ Appeal/ Others (ii) Mention the following detai

On account of supplies made to SEZ unit/ SEZ Developer (on payment of tax) GSTIN of recipient Invoice details Shipping bill/ Bill of export/ Endorsed invoice by SEZ Integrated Tax Integrat ed tax involved in debit note, if any Integrate d tax involved in credit note, if any Net Integrated tax (8+ 9 –10) No. DateValue Taxabl e Value Amt.

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