FORM SBY-05
Order sanctioning/rejecting claim of reimbursement
 

Order No.:

Date: <DD/MM/YYYY>

To
___________ (SBY-UIN)
___________ (Name of institution)
 ____________ (Address)

Acknowledgement No. Dated………

<DD/MM/YYYY>

Order for reimbursement/rejection under the Seva Bhoj Yojna Scheme

Sir/Madam,

This has reference to your application for reimbursement of tax under the Seva Bhoj Yojna Scheme.

Upon examination of your application, the amount of reimbursement sanctioned to youis as follows:

SI. No. Description Central Tax Integrated Tax (50% of the Integrated Tax paid) Total
1. Amount claimed      
2. Amount sanctioned      
3. Amount rejected      
4. Reason (s) for rejection, if any      
5. Net amount to be paid to the claimant      

I hereby sanction an amount of Rs.                 to M/s             having SBY-UIN as the amount of central tax and centre's share of integrated tax to be reimbursed under the Seva Bhoj Yojna Scheme, out of a total amount of Rs.               claimed vide application no.                    received in this office on               , for the claim period                   . The amount payable will be debitable to the Functional Head '*******' under Grant No.... of Ministry of Culture for the Financial Year...... , under which the budget has been authorized by the Ministry of Culture to the Central Board of Indirect Taxes and Customs, Department of Revenue, Ministry of Finance.

I hereby reject an amount of Rs.                from the said claim amount for reasons elaborated at Sl. No. 4 of the table above.
 

Date:
Place:

Signature of Authorised Signatory:
Name:
Designation:
 Office Address: