FORM-GST-RFD-04
[See rule 91(2)]
Sanction Order No: Date:<DD/MM/YYYY>
To
___________ (GSTIN)
___________ (Name)
____________ (Address)
Provisional Refund Order
Refund Application Reference No. (ARN) ……………Dated……..<DD/MM/YYYY>……-Acknowledgement No………Dated ……….<DD/MM/YYYY>………
Sir/Madam,
With reference to your above mentioned application for refund, the following amount is sanctioned to you on a provisional basis:
Date: Signature (DSC)
Place: Name:
Designation:
Office Address: