59. Form GST REG-29

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.
Aadhaar Number		Permanent Account Number
Signature of Authorised Signatory
Full Name
Designation / Status
Place
Date	DD/MM/YYYY

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