The Central Sales Tax (Orissa) Forms
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Body

FORM - C

"(To be furnished in duplicate)*

"Statement of Form 'F' received for the month ending on Dt. ____/____/______
[See rule 7A of the Central Sales Tax (Orissa) Rules, 1957]

Particulars of despatch of goods to outside the State on stock transfer / commission sale basis. under Section 6A of the CST Act, 1956 relating to the quarter ending on ____________

Sl. No.	Transfer Chalan / invoice No & Date	Name and address of the consignee/Branch	TIN/ CST RC No.	Description of goods	Quantity / Weight	Value of goods	Sl No of "F" forms received
(a)	(b)	(c)	(d)	(e)	(f)	(g)	(h)
1
2
3
4
5
Total

DECLARATION

I,_____________________________ (Name in Capital), submit herewith the Form 'F' in original hereby declare that the particulars furnished above are true and correct.

(Enclosure ............ No. of Forms 'F')

	Full signature of the authorized signatory
Place _______________	Name ______________________________
Date _______________	Status ______________________________

ACKNOWLEDGEMENT

(Received ............... numbers of Form 'F')

	signature of the receiving officer
Place _______________	Name of the receiving officer
Date _______________

* - First Copy - To be retained by the office

Second Copy - To be handed over to the dealer"