Declaration
{See Rule 66 (6) }
1.Name and address of the Consigner with Tax Identification Number &Central Sales Tax number
2. Name and address of the Consigner with Tax Identification Number &Central Sales Tax number
3. Registration No of Vehicle
4.Name and Licence No of the Driver
5 Name of transporting agency
6.Full description of the goods
7 Quantity
8. Details of transporting document
(Bill/Invoice/Deliver Note No and date)
DECLARATION
I............ consigner/consignee/representative hereby declare that the information furnished above are correct and complete.
Signature and Name.