Form Dvat 21-Delhi Value Added Tax Refund Claim Form

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Department of Trade and Taxes
Government of NCT of Delhi
Form DVAT 21
[See Rule 34]
Delhi Value Added Tax Refund Claim Form
1. Registration No./TIN
2. Full Name of Dealer
3. Dealer’s address
Building Name/ Number
Area/ Road
Locality/ Market
Pin Code
4. Tax refund claimed (attach supporting documents)
Rs.
5. Ground for claiming refund
(provide reasons in detail, attach
additional sheets if required)
6. Tax Period in which refund claimed
From
/
/
Day
Month
Year
To
7. Details of Bank Account
i)
Bank Account No.
ii) Bank Account Type
iii) Operated in the name of
iv) Name & Address of Bank/Branch
v)
MICR No.

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