FORM ST-31-C [ See rule 40(k) and 40-E(d)] REFUND APPLICATION To The assessing Authority ......... I, ......................................................................S/o..................................................... R/o......................................................................................................................................... On behalf of myself/partner/proprietor of M/s.................................................................... apply for refund of Rs......................................................................................furnish the following particulars : 1. Full name and address of the Dealer/person who own goods 2. Date of seizure of goods 3. Date of auction of the goods 4. Particulars of goods Invoice No. GR No. and date and date 5. Name of the consignor (if applicable) 6. Authority who seized the goods with Reference to provisions of the Act Under which seized. Dated Signature of the applicant.