Share PDF

Search documents:
  Report this document  
    Download as PDF   
      Share on Facebook

Consignor Details

Page 1 of 2

 

 

 

 

 

 

 

FORM JVAT 504 G ISSUED DATE:21/03/2013

 

JH2013-1580-0152292

 

 

 

 

 

 

 

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

FORM JVAT 504 G

e-Road Permit[ Form of Permit ]

[See Rule 42(2)(b)]

1.NAME OF DEALER BY WHOM THE PERMIT IS ISSUED WITH TIN NUMBER

Name:SRI. SANJAY KUMAR DUBEY

 

 

 

TIN:20020905925

 

2.NAME AND ADDRESS OF THE CONSIGNOR

 

 

 

 

TIN

 

 

Name Of Consignor

 

05006349839

 

TIME TECHNOPLAST LIMITED

 

Name And Style Of Bussiness

TIME TECHNOPLAST LIMITED

Address

Plot No. 57 & 63, Sector IV, IIE,

 

Pantnagar,Udhamsingh Nagar, Uttarakhand.

 

 

 

 

 

 

 

District/State/Country

UDHAM SINGH NAGAR/UTTARAKHAND

Pin

400072

 

Mobile No

9769391518

 

Email

zaidi@timetechnoplast.com

 

3.NAME AND ADDRESS OF THE CONSIGNEE

 

 

 

 

TIN

20020905925

 

Name Of Consignee

 

SRI. SANJAY KUMAR DUBEY

 

Name And Style Of Bussiness

M/S INDICO AUTOMOTIVE PVT. LTD.

 

Address

 

M-31(P), M-32(P), IVTH PHASE, INDUSTRIAL

 

 

 

AREA, GAMHARIA

 

 

 

 

 

 

 

City

JAMSHEDPUR

 

State

 

Jharkhand

 

Mobile No

9234617950

 

Email

 

dilip@indicomotors.com

 

4.PLACE OF DISPATCH

Plot No. 57 & 63, Sector IV, IIE, Pantnagar,Udhamsingh Nagar, Uttarakhand., UDHAM SINGH NAGAR/UTTARAKHAND, 400072

5.DESTINATION

 

 

 

Plot No. M-31P & 32P, 4th Phase,

 

 

 

 

 

 

 

 

 

 

Goods Shipping Address

 

 

Industrial Area, Gamharia,

 

State

 

 

Jharkhand

 

 

 

 

 

 

Jamshedpur

 

 

 

 

 

 

 

 

 

 

 

 

District

 

 

 

SARAIKELA KHARSAWAN

 

 

Pin

 

832108

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.Name of notified railway station/other place, from where delivery is to be taken

 

 

Attached as Transport Details section

7.Number and Date of

 

 

 

 

 

 

 

 

 

 

Attached as Transport Details section

8.Description of Consignment

 

 

 

 

 

 

 

 

 

 

 

Details attached as Annexure-A

9.Seller's invoice/forwarding note number and date

 

 

 

 

 

 

 

Details attached as Annexure-A

10.Mode of Transport(Vehicle No)

 

 

 

 

 

 

 

 

 

Attached as Transport Details section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TRANSPORT DETAILS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MODE OF

VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

CONSIGNMENT

POSSIBLE

REGISTRATION

 

TRANSPORTER

 

TRANSPORTER

 

CONSIGNMENT

 

NOTE

ENTRY

TRANSPORT/VEHICLE

 

 

 

 

NO/COURIER REF. NAME

 

ADDRESS

 

DATE

 

NO/RAILWAY

LOCATION IN

TYPE

 

 

 

NO

 

 

 

 

 

 

 

 

 

 

 

 

RECEIPT NO

JHARKHAND

 

 

 

 

 

 

 

 

 

 

 

 

 

Small Consignment

 

.

 

 

OM LOGISTIC

 

NEW DELHI

 

21/03/2013

 

10068988

 

HAZARIBAGH

 

 

 

 

 

 

 

 

 

 

 

 

SERVICES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

http://115.254.14.10:8080/viconline/WaybillServlet?step=4

3/21/2013

Consignor Details

Page 2 of 2

FORM JVAT 504 G

JH2013-1580-0152292

 

GOVERNMENT OF JHARKHAND

 

COMMERCIAL TAXES DEPARTMENT

 

ANNEXURE –A

 

e-Road Permit[ Form of Permit ]

 

INVOICE Details

COMMODITY NAME

INVOICE NO

INVOICE DATE

QUANTITY

NO OF PACKAGES

TOTAL AMOUNT

Rain Flaips

1206006215&6216

21/03/2013

660 NOS

23

292791.00

http://115.254.14.10:8080/viconline/WaybillServlet?step=4

3/21/2013