FORM GST DRC - 03

[See rule 142(2)&142(3)]

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Intimation of payment made voluntarily or made against the show cause notice (SCN) or statement

ARN :AD071223032265H Date :13/12/2023

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1. GSTIN 07AAFCN3886P2ZM
2. Name NUKIND HEALTHCARE PRIVATE LIMITED
3. Cause of Payment Voluntary
4. Section under which voluntary payment is made 73(5)

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5. Details of show cause notice, if payment is made within 30 days of Reference No:NA Date Of issue:NA
its issue
6. Financial Year 2017-2020

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7. Details of payment made including interest and penalty, if applicable (Amount in Rs.)
Sr. Tax Period Act Place of Tax/Cess Interest Penalty,if Fee Others Total Ledger Debit entry no. Date of
No. supply applicabl utilised debit entry
e (Cash/credit

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)
1. AUG 2017- IGST Delhi 0.00 333.00 0.00 0.00 0.00 333.00 Cash DC071223002 13/12/2023
AUG 2017 8062
2. AUG 2017- CGST Delhi 0.00 70.00 0.00 0.00 0.00 70.00 Cash DC071223002 13/12/2023
AUG 2017 8062
3. AUG 2017- SGST Delhi 0.00 70.00 0.00 0.00 0.00 70.00 Cash DC071223002 13/12/2023
AUG 2017 8062
4. SEP 2017- CGST Delhi 0.00 92.00 0.00 0.00 0.00 92.00 Cash DC071223002 13/12/2023
SEP 2017 8062
5. SEP 2017- SGST Delhi 0.00 136.00 0.00 0.00 0.00 136.00 Cash DC071223002 13/12/2023
SEP 2017 8062
6. OCT 2018- IGST Haryana 0.00 343.00 0.00 0.00 0.00 343.00 Cash DC071223002 13/12/2023
OCT 2018 8062
7. OCT 2018- CGST Delhi 0.00 116.00 0.00 0.00 0.00 116.00 Cash DC071223002 13/12/2023
OCT 2018 8062
8. OCT 2018- SGST Delhi 0.00 116.00 0.00 0.00 0.00 116.00 Cash DC071223002 13/12/2023
OCT 2018 8062

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9. MAR 2019- IGST Haryana 0.00 1,035.00 0.00 0.00 0.00 1,035.00 Cash DC071223002 13/12/2023
MAR 2019 8062
10. MAR 2019- CGST Delhi 0.00 321.00 0.00 0.00 0.00 321.00 Cash DC071223002 13/12/2023
MAR 2019 8062
11. MAR 2019- SGST Delhi 0.00 321.00 0.00 0.00 0.00 321.00 Cash DC071223002 13/12/2023
MAR 2019 8062

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12. AUG 2019- IGST Haryana 0.00 18,898.0 0.00 0.00 0.00 18,898.0 Cash DC071223002 13/12/2023
AUG 2019 0 0 8062
13. AUG 2019- CGST Delhi 0.00 727.00 0.00 0.00 0.00 727.00 Cash DC071223002 13/12/2023
AUG 2019 8062
14. AUG 2019- SGST Delhi 0.00 727.00 0.00 0.00 0.00 727.00 Cash DC071223002 13/12/2023
AUG 2019 8062

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15. DEC 2019- IGST Haryana 0.00 6.00 0.00 0.00 0.00 6.00 Cash DC071223002 13/12/2023
DEC 2019 8062
16. DEC 2019- CGST Delhi 0.00 1.00 0.00 0.00 0.00 1.00 Cash DC071223002 13/12/2023

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DEC 2019 8062
17. DEC 2019- SGST Delhi 0.00 1.00 0.00 0.00 0.00 1.00 Cash DC071223002 13/12/2023
DEC 2019 8062

8. Reasons, if any -

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9. 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

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nothing has been concealed therefrom .

Signature of Authorized Signatory

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Designation: DIRECTOR
Date: 13/12/2023

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