1[FORM GST APL-01/03 W
[See rule 109C]
Application for Withdrawal of Appeal Application
2. Name of Business (Legal) (in case appeal is filed under sub-section (1) of Section 107)
3. Name and designation of the appellant (in case appeal is filed under sub-section (2) of section 107):
4. Order No. & Date:
5. ARN of the Appeal & Date:
6. Reasons for Withdrawal:
i. Acceptance of order of the adjudicating authority.
ii. Acceptance of order of a Higher Appellate Authority/ Court on similar subject matter
iii. Need to file appeal again after rectification of mistakes/ omission in the filed appeal
iv. Amount involved in appeal is less than the monetary limit fixed for Appeal by the Board/Commissioner
v. Any other reason
7. Declaration (applicable in case appeal is filed under sub-section (1) of section 107): I/We <Taxpayer Name> hereby solemnly affirm and declare that the information given herein is true and correct to the best of my/ our knowledge and belief and nothing has been concealed therefrom.
Name of Applicant / Applicant Officer
1 Inserted vide Notification No. 26/2022-CT dated 26.12.2022.