“FORM GST RFD-01 W
[Refer Rule 90(5)]
Application for Withdrawal of Refund Application

1. ARN:
2. GSTIN:
3. Name of Business (Legal):
4. Trade Name, if any:
5. Tax Period:
6. Amount of Refund Claimed:
7. Grounds for Withdrawing Refund Claim:
    i. Filed the refund application by mistake
    ii. Filed Refund Application under wrong category
    iii. Wrong details mentioned in the refund application
    iv. Others (Please Specify)
8. Declaration: I/We hereby solemnly affirm and declare that the information given herein is true and correct to the best of my/ our knowledge and belief and nothing has been concealed therefrom.

Date:
Place:

Signature of Authorised Signatory
Name
Designation/ Status”.