[See rules 90(1), 90(2) and 95(2)]


Your application for refund is hereby acknowledged against <Application Reference Number>
Acknowledgement Number :
Date of Acknowledgement :
GSTIN/ UIN/ Temporary ID, if applicable :
Applicant’s Name :
Form No. :
Form Description :
Jurisdiction (tick appropriate) :
Centre         State/         Union Territory:
Filed by :

Refund Application Details

Tax Period  
Date and Time of Filing  
Reason for Refund  

Amount of Refund Claimed:

  Tax Interest Penalty Fees Others Total
Central Tax            
State /UT tax            
Integrated Tax            

Note 1: The status of the application can be viewed by entering ARN through <Refund> Track Application Status” on the GST System Portal.

Note 2: It is a system generated acknowledgement and does not require any signature.