Acknowledgment

Goods and Services Tax – FORM SBY-04 – 1[FORM SBY-04 Acknowledgment Applicant‟s Name: SBY-UIN: Acknowledgement Number : Applicant‟s Name : Your application for reimbursement is hereby acknowledged against Reimbursement Claim Details Claim Period Date and Time of Filing Amount Claimed Central Tax Integrated Tax (50% of the Integrated Tax paid) Total Date: Place: (Signature of nodal officer) Name of the nodal officer: Designation of the

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