FORM E1
[See Rule 3(5)]
Details of goods already subjected to entry tax
For the period/year ............
Registration No. & Name of the dealer from whom purchased.
Name of the scheduled goods purchased
Bill / Invoice No. & date
Quantity
Purchase value of the goods (as per invoice)
Remarks
1
2
3
4
5
6
7
Signature of the dealer
or his authorised agent.