Original
THE WEST BENGAL VALUE ADDED TAX RULES, 2005
FORM 51
Waybill for transport of consignment of goods despatched from
a place in West Bengal to a place outside West Bengal
[ See rule 108 ]
Serial No. 1
(if any)
Address:
.
CST RC No.:
Income Tax Permanent Account No. :
State :.
4. Description, Quantity and Value of Goods :
( in words)
[+Please use reverse side if the names of commodities exceed 1.]
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
5. Description, Quantity and Value of Goods -- Contd.
Name of the Dealer ...................................................................................................................
Signature of Proprietor /Partner / Authorised person .................................................................
Status / Designation ..................................................................................................................
[ Stamp ]..............................
Name of the Notified *Place/Station*/ Area
Signature of endorsing Sales Tax Officer./ Asst. Sales Tax Officer ...............................................
__________________________________________________________________________