The Jharkhand Value Added Tax Forms , 2005
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FORM JVAT 511

GOVERNMENT OF JHARKHAND

COMMERCIAL TAXES DEPARTMENT

Register of Delivery Note by a Clearing or Forwarding Agent

[See Rule 45(3)]

Name of the person / C & F agent

Consignor and Consignee
Date	Name and address of the consignor	CST regn. No.	TIN	Name and address of the consignee	CST regn no.	TIN	Place of dispatch of goods
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

Consignment
Destination of goods	Invoice no./GRN	Date	Description of goods	Quantity of goods	Value Consignment note no.	Name and address of the carrier	Vehicle No.
(9)	(10)	(11)	(12)	(13)	(14)	(15)	(16)

Deliver
Name and address of the driver	Licence number of the driver	Freight	Mode of payment of freight	Date of delivery/ receipt of goods	Name and address of person taking delivery or delivering to the agent	Bank through which delivery is routed	Signature of person mentioned in column no (22)
(17)	(18)	(19)	(20)	(21)	(22)	(23)	(24)

Signature and Date of the Authorised Person