THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 36

Confirmation of transport of goods to Nepal or Bhutan or Bangladesh.

(To be annexed with the application for refund as referred to in clause (a) or clause (aa) or clause (ab) of section 61.)

[See sub-rule (2) of rule 76]

From :

.......................................................................(Name and address of the transporter)

.......................................................................(Enrolment no, if any) the West Bengal Value Added Tax Act, 2003

........................................................................(Telephone No., Fax No. and E-mail address of the transporter)

To

The

.................................................................... (Appropriate Sales Tax authority)

.....................................................................(Address)

......................................................................

Sub: Confirmation of transport of goods to *Nepal/Bhutan/Bangladesh

Sir,

We certify that we have transported the goods from .........................................................................(place of loading) to ..................................................... (place of destination) of ................................................ (name) of ........................................................................................................... (address) as per details given below:

1. Invoice No. and date

2. (a) Consignment Note No. & Date :

(b) Description of goods in the Consignment Note:

(c) No. Of packages :

(d) Weight of the goods :

3. Lorry No. :

4. Place and date of exit from India (of the goods bound for *Nepal/Bhutan/Bangladesh):

5. Delivery of goods made in *Nepal/Bhutan/Bangladesh (Place and date to be given) :

6. (a) Freight paid by cash or by cheque :

(b) Date of payment :

7. Other remarks, if any,:

We hereby solemnly declare that the above information is true and correct.

Signature of the Proprietor/Partner of Transporter ................................................

Name in Block letters of the Proprietor/Partner ....................................................