Form GST REG-12 (Order of Grant of Temporary Registration/ Suo Moto Registration)
Form GST REG-12
[See rule 16(1)]
Reference Number – Date:
To (Name): (Address):
Temporary Registration Number
Order of Grant of Temporary Registration/ Suo Moto Registration
Whereas the undersigned has sufficient reason to believe that you are liable for registration under the Act, and therefore, you are hereby registered on a temporary basis. The particulars of the business as ascertained from the business premises are given as under:
| Details of person to whom temporary registration granted | |||
| 1. | Name and Legal Name, if applicable | ||
| 2. | Gender | Male/Female/Other | |
| 3. | Father’s Name | ||
| 4. | Date of Birth | DD/MM/YYYY | |
| 5. | Address of the Person | Building No./ Flat No. | |
| Floor No. | |||
| Name of Premises/ Building | |||
| Road/ Street | |||
| Town/City/Locality/ Village | |||
| Block / Taluka | |||
| District | |||
| State | |||
| PIN Code | |||
| 6. | Permanent Account Number of the person, if available | ||
| 7. | Mobile No. | ||
| 8. | Email Address | ||
| 9. | Other ID, if any
(Voter ID No./ Passport No./Driving License No./ Aadhaar No./ Other) |
||
| 10. | Reasons for temporary registration | ||
| 11. | Effective date of registration / temporary ID | ||
| 12. | Registration No. / Temporary ID | ||