Form GSTR-3B

[See rule 61(5)]

Year 2024-25
Period April

GSTIN of the supplier 33FCJPS9196D1Z1

2(a). Legal name of the registered person BALUCHAMY SELVARAJ
2(b). Trade name, if any J S R THIYAI NILAYAM
2(c). ARN AB330424789943P
2(d). Date of ARN 21/05/2024

(Amount in ₹ for all tables)

3.1 Details of Outward supplies and inward supplies liable to reverse charge (other than those covered by Table 3.1.1)

Nature of Supplies Total taxable Integrated Central State/UT Cess

exempted)
(b) Outward taxable supplies (zero rated)
(c ) Other outward supplies (nil rated, exempted)
(d) Inward supplies (liable to reverse charge)
(e) Non-GST outward supplies
ED
(a) Outward taxable supplies (other than zero rated, nil rated and
value
242200.00

0.00
0.00
0.00
0.00
tax

-
0.00

0.00

0.00

3.1.1 Details of Supplies notified under section 9(5) of the CGST Act, 2017 and corresponding provisions in IGST/UTGST/
tax
6055.00

-
-

-
0.00
tax
6055.00

-
-

-
0.00
0.00

0.00
-
0.00
-

SGST Acts
FIL
Nature of Supplies Total Integrated Central State/ Cess
taxable tax tax UT tax
value
(i) Taxable supplies on which electronic commerce operator pays tax u/s 9(5) [to 0.00 0.00 0.00 0.00 0.00
be furnished by electronic commerce operator]
(ii) Taxable supplies made by registered person through electronic commerce 0.00 - - - -
operator, on which electronic commerce operator is required to pay tax u/s 9(5)
[to be furnished by registered person making supplies through electronic
commerce operator]

3.2 Out of supplies made in 3.1 (a) and 3.1.1 (i), details of inter-state supplies made

Nature of Supplies Total taxable value Integrated tax

Supplies made to Unregistered Persons 0.00 0.00
Supplies made to Composition Taxable 0.00 0.00
Persons
Supplies made to UIN holders 0.00 0.00

4. Eligible ITC

Details Integrated tax Central tax State/UT tax Cess

A. ITC Available (whether in full or part)
(1) Import of goods 0.00 0.00 0.00 0.00
(2) Import of services 0.00 0.00 0.00 0.00
(3) Inward supplies liable to reverse charge (other than 1 & 2 above) 0.00 0.00 0.00 0.00
 (4) Inward supplies from ISD 0.00 0.00 0.00 0.00
(5) All other ITC 0.00 1268.87 1268.87 0.00
B. ITC Reversed
(1) As per rules 38,42 & 43 of CGST Rules and section 17(5) 0.00 0.00 0.00 0.00
(2) Others 0.00 0.00 0.00 0.00
C. Net ITC available (A-B) 0.00 1268.87 1268.87 0.00
(D) Other Details 0.00 0.00 0.00 0.00
(1) ITC reclaimed which was reversed under Table 4(B)(2) in earlier tax 0.00 0.00 0.00 0.00
period
(2) Ineligible ITC under section 16(4) & ITC restricted due to PoS rules 0.00 0.00 0.00 0.00

5 Values of exempt, nil-rated and non-GST inward supplies

Nature of Supplies Inter- State supplies Intra- State supplies

From a supplier under composition scheme, Exempt, Nil rated supply 0.00 0.00
Non GST supply 0.00 0.00

5.1 Interest and Late fee for previous tax period

Details
System computed
Interest
Interest Paid
Late fee
Integrated tax
-

-
ED
0.00
Central tax
3.09

3.09
50.00
State/UT tax
3.09

3.09
50.00
Cess
-

-
0.00
FIL
6.1 Payment of tax

Description Total tax Tax paid through ITC Tax paid in Interest paid Late fee
payable cash in cash paid in cash
Integrated tax Central tax State/UT tax Cess
(A) Other than reverse charge
Integrated 0.00 0.00 0.00 0.00 - 0.00 0.00 -
tax
Central tax 6055.00 0.00 1269.00 - - 4786.00 3.00 50.00
State/UT tax 6055.00 0.00 - 1269.00 - 4786.00 3.00 50.00
Cess 0.00 - - - 0.00 0.00 0.00 -
(B) Reverse charge
Integrated 0.00 - - - - 0.00 - -
tax
Central tax 0.00 - - - - 0.00 - -
State/UT tax 0.00 - - - - 0.00 - -
Cess 0.00 - - - - 0.00 - -

Breakup of tax liability declared (for interest computation)

Period Integrated tax Central tax State/UT tax Cess

April 2024 0.00 6055.00 6055.00 0.00

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 there from.
Date: 21/05/2024 Name of Authorized Signatory
BALUCHAMY SELVARAJ

Designation /Status
PROPRIETOR

ED
FIL