Form GST ASMT - 17
[See rule 100(4)]
Application for withdrawal of assessment order issued under section 64
6. Verification-
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 __________
Designation / Status -------
Date -