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FORM 402
(See rule 51)

ORIGINAL
DUPLICATE
TRIPLICATE

Declaration under section 68 of the Gujarat Value Added Tax Act, 2003

(For movement of goods within the State or goods moving outside the State)
To,
The officer in charge
Check post……
(1) Place from which goods are dispatched__________________ District___________
(2) Place to which goods are dispatched____________________ District___________
(3) Details of goods invoice No_____________Date_______________
(4) Consignor’s details :
Name
State
Address
Registration
Certificate No
Date
Telephone
CST
registration No.
Fax No.
Date
(5) Nature of Transaction :
:1: Inter state sale
:2: Transfer of documents of title
:3: Depot Transfer
:4: Consignment to Branch/Agent
:5: For Job works/Works contract
:6: For export
:7: Any Other
(6) Consignee’s details :Name
Address

Registration Certificate No

Date
Telephone
CST
registration
No.
Fax No.
Date
Consigned Value Rs.____________________
Sr. Description of Goods
Commodity
Unit
Rate of Tax
Value
No.
Code
Quantity
1
2
3
4
(7) Transporter’s Details : (a) Name ________________________________________
(b) Address_______________________________________
_______________________________________
_______________________________________
(c) Owner/ Partner’s Name __________________________
(8) Vehicle No___________________ L.R.No.________________Date____________
(9) Driver’s Details (a) Name____________________________________________
(b) Address __________________________________________
__________________________________________
(c) Driving Licence No. ________________________________
(d) Licence issuing State________________________________
(e) Driver’s Signature
(10) Name and the address of person in charge of goods _________________________

Seal

Place : _____________________

Signature :___________________

Date : _____________________

Designation : ________________

For Commercial Tax Department/Check post
Entry No.
Vehicle
Arrival
Depart

Reason of abnormal
stoppage
Date

Result if any

Time

Date__________________Signature________________Designation_______________

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402

  • 1. FORM 402 (See rule 51) ORIGINAL DUPLICATE TRIPLICATE Declaration under section 68 of the Gujarat Value Added Tax Act, 2003 (For movement of goods within the State or goods moving outside the State) To, The officer in charge Check post…… (1) Place from which goods are dispatched__________________ District___________ (2) Place to which goods are dispatched____________________ District___________ (3) Details of goods invoice No_____________Date_______________ (4) Consignor’s details : Name State Address Registration Certificate No Date Telephone CST registration No. Fax No. Date (5) Nature of Transaction : :1: Inter state sale :2: Transfer of documents of title :3: Depot Transfer :4: Consignment to Branch/Agent :5: For Job works/Works contract :6: For export :7: Any Other (6) Consignee’s details :Name Address Registration Certificate No Date Telephone CST registration No. Fax No. Date Consigned Value Rs.____________________ Sr. Description of Goods Commodity Unit Rate of Tax Value No. Code Quantity 1 2 3 4 (7) Transporter’s Details : (a) Name ________________________________________
  • 2. (b) Address_______________________________________ _______________________________________ _______________________________________ (c) Owner/ Partner’s Name __________________________ (8) Vehicle No___________________ L.R.No.________________Date____________ (9) Driver’s Details (a) Name____________________________________________ (b) Address __________________________________________ __________________________________________ (c) Driving Licence No. ________________________________ (d) Licence issuing State________________________________ (e) Driver’s Signature (10) Name and the address of person in charge of goods _________________________ Seal Place : _____________________ Signature :___________________ Date : _____________________ Designation : ________________ For Commercial Tax Department/Check post Entry No. Vehicle Arrival Depart Reason of abnormal stoppage Date Result if any Time Date__________________Signature________________Designation_______________