Single format · FV05-F5-3

Request to the specified officer for endorsement of receipt of goods or services for authorised operations

A single format from the Excess Balance, Excess Payment, Deemed Exports, SEZ and UIN Refunds pack. s.16(1)(b) IGST · second proviso to Rule 89(1) · Rule 89(2)(d) and (e).

Length
2 pages
Blanks to fill
32
Files
Word and PDF
Law stated to
13 September 2026

What it covers

  1. 1Request to the specified officer for endorsement of receipt of goods or services for authorised operationss.16(1)(b) IGST · second proviso to Rule 89(1) · Rule 89(2)(d) and (e)32 blanks

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

On the letterhead of the supplier, countersigned by the SEZ unit or developer

To
The Specified Officer
[Name of the Special Economic Zone]
[Specified Officer's office address]

Sub: Request for endorsement of admission of goods / receipt of services for authorised operations — supplies made to [name of the SEZ unit / developer], LOA No. [Letter of Approval number] dated [Date of the Letter of Approval] — for the purpose of a refund claim under the second proviso to rule 89(1) of the CGST Rules 2017

11 more paragraphs and tables follow in the full format.

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