Statement of inward supplies by persons having Unique Identification Number (UIN)

 

      

Year
Tax Period

 

1	UIN
2	Name of the person having UIN	Auto populated

3. Details of inward supplies received
                                                                                                                                                                                              (Amount in Rs. for all Tables)

GSTIN of supplie	Invoice/Debit Note/Credit Note details			Rate	Taxable value	Amount of tax				Place of Supply
	No	Date	Value			Integrated tax	Central Tax	State/ UT Tax	CESS
1	2	3	4	5	6	7	8	9	10	11
3A. Invoices received
3B. Debit/Credit Note received

                                                                                                                                           
                                                                                                                    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 therefrom.

Place                                                                                                                                                                         Signature

                                                                                           Name of Authorised Signatory

Date

                                                                                           Designation /Status

Instructions:-

            1. Terms Used:-
                  a.    GSTIN:- Goods and Services Tax Identification Number
                  b.    UIN :-   Unique Identity Number

            2.  Refund applications has to be filed in the same State in which the Unique Identity Number has been allotted.

            3.  For refund purposes only those invoices may be entered on which refund is sought.