DRC 03

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FORM GST DRC - 03

[See rule 142(2)&142(3)]

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Intimation of payment made voluntarily or made against the show cause notice (SCN) or statement

ARN :AD0909230036235 Date :01/09/2023

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1. GSTIN 09BRFPS6144E1ZL
2. Name VINOD KUMAR SINGH
3. Cause of Payment Scrutiny
4. Section under which voluntary payment is made 61

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5. Details of show cause notice, if payment is made within 30 days of Reference Date Of issue:18/08/2023
its issue No:ZD090823130192J
6. Financial Year 2017-2018

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7. Details of payment made including interest and penalty, if applicable (Amount in Rs.)
Sr. Tax Period Act Place of Tax/Cess Interest Penalty,if Fee Others Total Ledger Debit entry no. Date of
No. supply applicabl utilised debit entry
e (Cash/credit

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)
1. JUL 2017- IGST Delhi 6,344.00 0.00 0.00 0.00 0.00 6,344.00 Credit DI090923000 01/09/2023
MAR 2018 2072

8. Reasons, if any -
9. Verification -

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I hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and
nothing has been concealed therefrom .

Signature of Authorized Signatory


Name: VINOD SINGH
Designation: PROPRIETOR
Date: 01/09/2023

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