FORM-GST-RFD-05
[See Rule 91(3), 92(4), 92(5) & 94]
Payment order
To PAO, CBIC
Refund Sanction Order No...........
Order Date......<DD/MM/YYYY>...........
GSTIN/ UIN/ Temporary ID < >
Name: < >
Refund Amount (as per Order):
Note 'T' stands Tax; 'I' stands for Interest; 'P' stands for Penalty; 'F' stands for Fee and 'O' stands for Others
To
__________(GSTIN/ UIN/ Temporary ID)
__________(Name)
____________(Address)