GST REG-29
Application for cancellation of provisional registration
Application for cancellation of provisional registration Part A
(i) Provisional ID (ii) Email ID (iii) Mobile Number Part B 1. Legal Name (As per PAN) 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 Authorized Signatory
Full Name Designation / Status
Place
Date DD/MM/YYYY
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