Form GST REG-11
[See rule 15(1)]

Application for extension of registration period by casual / non-resident taxable person

1. GSTIN  
2. Name (Legal)  
3. Trade Name, if any  
4. Address  
5. Period of Validity (original) From To
DD/MM/YYYY DD/MM/YYYY
6. Period for which extension is requested. From To
DD/MM/YYYY DD/MM/YYYY
7. Turnover Details for the extended period (Rs.)

Estimated Tax Liability (Net) for the extended period (Rs.)
Inter- State Intra-State Central Tax State Tax UT Tax Integrated Tax Cess
             
8. Payment details
Date CIN BRN Amount
       
9.

Declaration -
I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

Signature
Name of Authorised :
SignatoryDesignation / Status:

Place:
Date:

Instructions for submission of application for extension of validity

1. The application can be filed online before the expiry of the period of validity.
2. The application can only be filed when advance payment is made.
3. After successful filing, Application Reference Number will be generated which can be used to track the status of the application.