Form GST APL- 02
[See rule 108(3)]

Acknowledgment for submission of appeal

<Name of applicant><GSTIN/Temp ID/UIN/Reference Number with date >

Your appeal has been successfully filed against < Application Reference Number >

1.     Reference Number-
2.     Date of filing-
3.     Time of filing-
4.     Place of filing-
5.     Name of the person filing the appeal-
6.     Amount of pre-deposit-
7.     Date of acceptance/rejection of appeal-
8.     Date of appearance-                                                                                                                                                                   Date:

Time:

9. Court Number/ Bench                                                             Court:                                                                        Bench:

Place:
Date:                                                                                                                                                                                                                         Signature>

                Name:                                   
Designation:                                   

On behalf of Appellate Authority/Appellate
Tribunal/ Commissioner / Additional or Joint
Commissioner