Gst Challan Pmt 6

Government of India /State 
Department of -------------- 

Form GST PMT –6 
(See Rule ----   ) 

Application For Credit of Missing Payment (CIN not generated) 

1. 
2. 
3. 

4. 

5. 

6. 

7. 

8. 

9. 

10. 

11. 

CC/DC 

NeFT/RTGS  OTC 

Date 

Bank/branch on 
which drawn 

(to be auto populated) 
(to be auto populated) 
dd/mm/yyyy 

Net 
banking 
Cheque / Draft 
No. 

GSTIN 
Name 
Date of generation 
of challan from 
Common Portal 
Common Portal 
Identification 
Number (CPIN) 
Mode of payment 
(tick one) 
Instrument detail, 
for OTC payment 
only 
Name  of  bank 
through which 
payment made 
Date on which 
amount debited / 
realized 
Bank Reference 
Number 
(BRN)/UTR No., 
if any 
Name of payment 
gateway (for 
CC/DC) 
Verification (by authorized signatory) 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 I  hereby  solemnly  affirm  and  declare  that  the  information  given  herein  above  is 
true and correct to the best of my knowledge and belief. 

Place 
Date 

Note – 

Name  of  Authorized  Signatory 
Designation   /Status_______ 

1.  The application is meant for the taxpayer where the amount intended to be paid is debited from the account but 
CIN has not been conveyed by bank to Common Portal. Payment may have been made through any mode. 

2.  The application may be filed if CIN is not conveyed within 24 hours of debit. 
3.  Common Portal shall forward the complain to Bank concerned and intimate the aggrieved taxpayer.