Sl. No. :
Form of challan
(to be used in case of intra-state stock transfers)
[See rule 26(2)]
COUNTERFOIL
(To be retained by the Transferor)
1. Serial Number: ............................................
2. Date: ..........................................
3. Name of Transferor: .....................................
4. TIN of Transferor: .........................................
5. Description of goods: ..................................
6. Quantity of goods: ........................................
7. Transfer value: .............................................
8. Name of Transferee: .....................................
9. TIN of Transferee: ........................................
10. Details of Mode of Transport:....................
11. No. and date of Consignment ...................
Note /Document evidencing .............................
transportation of goods: ..................................
12. Place of dispatch:.......................................
13. Destination: ...............................................
The above statements are true to the best of my knowledge and belief.
Signature
Dated ........................
Status ..............................
ORIGINAL
(To accompany the consignment of goods)
2. Date: ............................................................
3. Name of Transferor: ....................................
4. TIN of transferor: .........................................
13 . Destination: ...............................................
DUPLICATE