42. FORM GST REG-12
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 the Person | of | Building No./ Flat No. | ||||||
| Floor No. | |||||||||
| Name of Premises/ Building | |||||||||
| Road/ Street | |||||||||
| Town/City/Locality/ Village | |||||||||
| Block / Taluka | |||||||||
| District | |||||||||
| State | |||||||||
| PIN Code | |||||||||
| 6. | Permanent available | Account | Number | of | the | person, | if | ||
| 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 | |
| (Upload of Seizure Memo / Detention Memo / Any other supporting documents) <<You are hereby directed to file application for proper registration within 90 days of the issue of this order>> Signature Place << Name of the Officer>>: Date: Designation/ Jurisdiction: Note: A copy of the order will be sent to the corresponding Central/ State Jurisdictional Authority. | ||
| [13. Details of Bank Accounts (s) [Optional] Total number of Bank Accounts maintained by the applicant (Upto 10 Bank Accounts to be reported) Details of Bank Account 1 Note-Add more bank accounts]11 |
| Account Number Type of Account IFSC Bank Name Branch Address To be auto-populated (Edit mode) |
11 Inserted vide Notf no. 31/2019 – CT dt. 28.06.2019
