Form GST REG-11 (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 Place: Name of Authorised Signatory: Date: Designation / Status:

Instructions for submission of application for extension of validity

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