SELF-INVOICE (REVERSE CHARGE)
Issued under Section 31(3)(f) of the CGST Act, 2017 for inward supplies from an unregistered supplier liable to RCM
| Recipient (self, issuing) / GSTIN | [Business Name] / [GSTIN] |
| Self-Invoice No. | [Serial No.] |
| Date | [DD/MM/YYYY] |
| Unregistered Supplier (Party) | [Party Name & Address] (Unregistered) |
| Description of Goods/Services | [Nature of supply] |
| Place of Supply | [State & State Code] |
| S.No | Description | HSN/SAC | Taxable Value ₹ | CGST | SGST | IGST | Total ₹ |
|---|---|---|---|---|---|---|---|
| [1] | [Item] | [HSN/SAC] | [₹ Value] | [₹] | [₹] | [₹] | [₹] |
Total (in words): [Rupees ... Only]
For [Business Name] (as recipient)
Authorised Signatory: ____________________
Legal note: The recipient must issue a self-invoice for reverse-charge supplies received from unregistered suppliers and a payment voucher at the time of payment. The tax paid can be claimed as input tax credit subject to eligibility.