NOTE: This Form shall be deemed to have been omitted with effect from the 1st day of July, 2019 vide Notification No. 14/2022-CT dated 05.07.2022.
***OMITTED ***
2[1[FORM GST RFD-10B
[See rule 95A]
Application for refund by Duty free Shops/Duty Paid Shops (Retail Outlets)
1. GSTIN:
2. Name:
3. Address:
4. Tax Period (Monthly/Quarterly) : From <DD/MM/YY> To <DD/MM/YY>
5. Amount of Refund Claim: <INR><In Words>
6. Details of inward supplies of goods received and corresponding Outward supplies:
7. Refund applied for:
8. Details of Bank Account:
i. Bank Account Number
ii. Bank Account Type
iii. Name of the Bank
iv. Name of the Account Holder/Operator
v. Address of Bank Branch
vi. IFSC
vii. MICR
9. Declaration:
I ______ as an authorized representative of ___________ (Name of Duty Free Shop/Duty Paid Shop–retail outlet) hereby solemnly affirm and declare that,-
(i) refund has not been claimed against any of the invoices in respect of outward supplies submitted with this application
(ii) the information given herein above is true and correct to the best of my knowledge and belief.
Date: Signature of Authorized Signatory:
Place: Name:
Designation / Status
Instructions:
a) Undertaking that all indigenous goods on which refund is being claimed have been received by the Duty-Free Shop/Duty Paid Shop (retail outlet);
b) Undertaking that the indigenous goods have been sold to eligible outgoing international tourist;
c) Copy of the returns for the period for which application is being filed.]]
1. Inserted vide Notification No. 31/2019-CT dated 28.06.2017 w. e. f. 01.07.2019.
2. Omitted vide Notification No. 14/2022-CT dated 05.07.2022 w. e. f. 01.07.2019.