FORM-GST-RFD-01 B

[See rules 91(2), 92(1), 92(3), 92(4), 92(5) and 97A]

Refund Order details

1. ARN  
2. GSTIN / Temporary ID  
3. Legal Name  
4. Filing Date  
5. Reason of Refund  
6. Financial Year  
7. Month  
8. Order No.:  
9. Order issuance Date:  
10. Payment Advice No.:  
11. Payment Advice Date:  
12. Refund Issued To : Drop down: Taxpayer / Consumer Welfare Fund
13. Issued by:  
14. Remarks:  
15. Type of Order Drop Down: RFD- 04/ 06/ 07 (Part A)
16. Details of Refund Amount (As per the manually issued Order):
Description Integrated Tax Central Tax State/ UT tax Cess
  T I P F O Total T I P F O Total T I P F O Total T I P F O

Total
a. Refund
amount claimed		                                                
b. Refund Sanctioned on provisional
basis		                                                
c. Remaining Amount                                                
d. Refund amount in-
admissible		                                                
e. Gross amount to be
paid		                                                
f. Interest (if any)                                                
g. Amount adjusted against outstanding demand under the existing law or
under the Act		                                                
17. Attachments (Orders) RFD-04; RFD- 06; RFD 07 (Part A)
Date:
Place:		 Signature (DSC):
Name:
Designation:
Office Address: ”