THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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Original

THE WEST BENGAL VALUE ADDED TAX RULES, 2005

FORM 50

Waybill for transport of consignment of goods despatched from

Outside West Bengal to any place inside West Bengal

[See rule 100, rule 103 and rule 104]

Serial No. 1

1.	Office and Date of Issue

Name and Address of the Dealer/Personn importig the Goods

2A.

Dealer's Registration no. (TIN)

(if any)

Trade Name :

Address:

VAT RC No.:

CST RC No.:

Income Tax Permanent Account No. :

Name and Address of the Dealer / person from whom the goods are purchase / imported

3A.

Dealer's Registration No. (TIN) (if any)

Trade Name :

Address:

State :.

VAT RC No.:

CST RC No.:

Income Tax Permanent Account No. :

1. Description, Quality and Value of Goods :

(a) No. of Invoices:

(b) Total value of Goods : Rs.

( in words)

Sl. No.

Commodity

Invoice No. & date

Quantity

Value of Goods (Rs.)

Code

Name

[+Please use reverse side if the names of commodities exceed 1.]

Name and address of the transporter / Owner of the Vehicle by which the goods are consigned

5A. Vehicle Number

Name :

Address:

5B. Consignment Note No.

Declaration - *I/We declare that *I/We *am/are registered dealerf under the West Bengal Value Added Tax Act, 2003, holding Registration Certificate No. (TIN) ............................................. and the statements are correct to the best of my / our knowledge and belief.

Name of the Dealer .................................................................................................................

Signature of Proprietor / Partner / Authorised person ..............................................................

Status / Designation ................................................................................................................

[ Stamp ].............................

_____________________________________________________________________________________

*Strike out whichever is not applicable

4. Description, Quality and Value of Goods -- Contd.

Sl. No.	Commodity	Invoice No. & Date	Quantity	Value of Goods (Rs.)
	Code
2.	Name
3.	Code
	Name
4.	Code
	Name
5.	Code
	Name

Name of the Dealer ...................................................................................................................

Signature of Proprietor /Partner / Authorised person .................................................................

Status / Designation ..................................................................................................................

[ Stamp ]..............................

Name of the Notified *Place/Station*/ Area

Date

Month

Year

Date of Endorsement

Signature of endorsing Sales Tax Officer./ Asst. Sales Tax Officer ...............................................

__________________________________________________________________________