GST PCT-05
Authorization/withdrawal of authorization of Goods and Service Tax Practitioner
To The authorized officer Central Tax/State Tax.
PART-A
Sir/Madam
I/We <Name of the Proprietor/all Partners/Karta/Managing Directors and whole time Director/Members of Managing Committee of Associations/Board of Trustees etc.) do hereby 1. *solemnly authorize, 2. *withdraw authorization of ----------- (Name of the Goods and Services Tax Practitioner), bearing Enrolment Number------- for the purposes of Section 48 read with rule 24.Return to perform the following activities on behalf of -------- (Legal Name) bearing << GSTIN - >>:
Sr. No.
List of Activities Check box
1. To furnish details of outward and inward supplies 2. To furnish monthly, quarterly, annual or final return 3. To make deposit for credit into the electronic cash ledger 4. To file an application for claim of refund 5. To file an application for amendment or cancellation of registration 2. The consent of the ---------- (Name of Goods and Services Tax Practitioner) is attached herewith*. *Strike out whichever is not applicable. Signature of the authorized signatory Name Designation/Status Date
Place
10
Part -B Consent of the Goods and Services Tax Practitioner
I <<(Name of the Goods and Services Tax Practitioner>>< Enrolment Number> do hereby solemnly accord my consent to act as the Goods and Services Tax Practitioner on behalf of ------ (Legal name), GSTIN ……….. only in respect of the activities specified by ------ (Legal name), GSTIN ………..
Signature Name Date Enrolment No.
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