Form GST REG-29
[See rule 24(4) ]
Application for cancellation of provisional registration
Part A
(i) Provisional ID | |||||||
(ii) Email ID | |||||||
(iii) Mobile Number | |||||||
Part B | |||||||
1. Legal Name (As per Permanent Account Number) | |||||||
2. Address for correspondence | |||||||
Building No./ Flat No. | Floor No. | ||||||
Name of Premises/ Building | Road/ Street | ||||||
City/Town/ Village/Locality | District | ||||||
Block/Taluka | |||||||
State | PIN | ||||||
3. Reason for Cancellation | |||||||
4. Have you issued any tax invoice during GST regime? YES NO | |||||||
5. Declaration
(i) I <Name of the Proprietor/Karta/Authorised Signatory>, being <Designation> of <Legal Name ()> do hereby declare that I am not liable to registration under the provisions of the Act. 6. Verification 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. |
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Aadhaar Number | Permanent Account Number | ||||||
Signature of Authorised Signatory | |||||||
Full Name | |||||||
Designation / Status | |||||||
Place | |||||||
Date | DD/MM/YYYY | ||||||