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

FORM 54

Statement of issue of way bill in Form 50 received on..................................(date of receipt on previous occasion)

[See *sub-rule(3) of rule 110/sub-rule(3) of rule 111/sub-rule(3) or rule 112]

A.

Sl. No. Way Bill Consignor's Name and address Consignment note/Railway Receipt /Bill of lading / Air note Name and address of the transporter and vehicle No. Description of goods Consignor's invoice Name of the entry Checkpost or notified place Date of entry into West Bengal
No. Date of issue No. Date Name Quantity No. Date Amount
                           

B. Serial Nos. Of Way Bill lying in stock on the date of application:

.........................................................Way Bill

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

No. Date of issue Consignor's name and address

________________________________________________________________________

Certified to be true and correct

Signature................................................................

Status.....................................................................

Date........................................................................

Note: This form duly filed in and signed is required to be furnished in duplicate to the appropriate assessing authority on each occasion with application for Way Bill in Form 50.