Delivery Challan Format (2)

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Original for Consignee

DELIVERY CHALLAN Duplicate for Transporter


(Refer Rule 55 to CGST Act) Triplicate for Consignor
Delivery Challan no.4 Trasnporter Name JADE BY ALAPPAT
Delivery Challan date: 12/12/2024 Transportation Mode BY CAR
STATE: KERALA Place of Supply

PRIYANKA JEWELLERS ROUND EAST THRISSUR

STATE CODE : 32 STATE CODE: 32 KERALA

SHIPPER : JADE BY ALAPPAT CONSIGNEE : PRIYANKA JEWELLERS ROUND EAST THRISSUR


1ST FLOOR@ONE BUILDING
Address : GEETHANJALI JUNCTION Address : ROUND EAST THRISSUR
NH BYPASS, VYTTILA, COCHIN- 682 032
ERNAKULAM M: +91 9745966000 State : KERALA
State Code:32
STATE CODE : 32
GSTIN: GSTIN: 32AACFP8952A1ZJ
32BIOPA6080K1Z7
PURPOSE OF MOVEMENT: CONVERTION OF GOLD FOR JEWELLERY PURPOSE CONSIGNEE : (Delivery Address- if not same )
Co. Name:
Address :

S.No. Description of Goods HSN of Goods Gross Weight (Gms) Stone Net Value of Goods Taxable Value of Goods
Weigh Weight of Goods
t (Gms)
1 GOLD BAR 71131910 42.8 (Gms)
0 42.8 303880
GOLD BAR 71131910 57.69 57.69 409599
PENDANT 71131910 13.33 13.33 94643
REPAIR ITEMS 71131910 12.38 12.38 87898

Total
SGST
CGST
IGST 3% 24243.66
Rounding off
Grand Total 832365.66

Stamp & Signature of authorised representative


iginal for Consignee
plicate for Transporter
plicate for Consignor

UND EAST THRISSUR

Taxable Value of Goods


COMPANY LETTER HEAD
INVENTORY LIST / PACKING LIST
Shipper: Date:

Buyer's Order No.& Date

Other Reference(s)

Consignee: Buyer (If other than Consignee)

C/o. Kerala International Jewellery Fair 2022


Kochi.
INDIA. Contry of Origin of Goo Country of Final Destination
INDIA INDIA
Terms of Delivery and Payment
Pre-Carriage By Place of Receipt
Sequel EXHIBITION GOODS -
Vessel/flight no. Port of Loading

Port of Discharge Final Destination

SL NO Descriptio Quantity Gr Wt N Wt Diamond Amount


[Pcs] Gms Gms Cts Rs.

Amount Chargeable (IN Words) Rupees:

For
Decleration:
We declare that Invoice Show the actual price of the Goods
described and that all particulars are true & Correct Authorised Signatory

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