FORM ST-31-C
[See rule 40(k) and 40-E (d)]
REFUND APPLICATION
...................................
I, ..................................................................... S/o .....................................................................................................
R/o ..............................................................................................................................................................................
On behalf of myself/partner/proprietor of M/s ............................................................................ apply for refund of Rs. ............................................................................................. furnish the following particulars :-
Dated
Signature of the applicant.