122. Form GST ARA -03
Form GST ARA -03
[See Rule 106(2)]
Appeal to the Appellate Authority for Advance Ruling
| Sr. No. | Particulars | Remarks |
| 1 | Advance Ruling No. | |
| 2 | Date of communication of the advance ruling | DD/MM/YYYY |
| 3 | GSTIN, if any / User id of the person who had sought advance ruling | |
| 4 | Legal Name of the person referred to in serial number 3. | |
| 5 | Name and designation of jurisdictional officer / concerned officer | |
| 6 | Email Address of jurisdictional officer / concerned officer | |
| 7 | Mobile number of jurisdictional officer / concerned officer | |
| 8 | Whether the jurisdictional officer / concerned officer wishes to be heard in person? | Yes/No |
| 9. | Facts of the case (in brief) | |
| 10. | Grounds of Appeal | |
| Prayer In view of the foregoing, it is respectfully prayed that the Ld. Appellate Authority, <Place> may be pleased to: set aside/modify the impugned advance ruling passed by the Authority for Advance Ruling as prayed above;grant a personal hearing; andpass any such further or other order (s) as may be deemed fit and proper in facts and circumstances of the case. |
I,
VERIFICATION
(name in full and in block letters), son/daughter/wife of
do hereby solemnly declare that to the best of my knowledge and belief what is stated above and in the annexure(s), including the documents are correct. I am making this application in my capacity as (designation) and that I am competent to make this application and verify it.
Place
Date
Signature
Name and designation of the concerned officer / jurisdictional officer
321
