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

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