Form GST PCT-05
[See rule 83(6)]
Authorisation / withdrawal of authorisation for Goods and Services Tax Practitioner
To
The Authorised 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 authorise,
2. *withdraw authorisation of
----------- (Name of the Goods and Services Tax Practitioner), bearing Enrolment Number-------- for the purposes of Section 48 read with rule 83 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 | |
| 6. | To furnish information for generation of e-way bill | |
| 7. | To furnish details of challan in FORM GST ITC-04 | |
| 8. | To file an application for amendment or cancellation of enrolment under rule 58 | |
| 9. | To file an intimation to pay tax under the composition scheme or withdraw from the said scheme. |
2. The consent of the ---------- (Name of Goods and Services Tax Practitioner) is attached herewith*.
*Strike out whichever is not applicable.
Signature of the authorised
signatory
Name
Designation/Status
Date
Place
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
Enrolment No
Date