DEMO|
Skip Navigation Links
Rules
|
Notifications
|

The Orissa Value Added Tax Rules, 2005 FORMS
-

Body
ORIGINAL

 

WAY BILL Omitted w.e.f. 01-07-2017

[See sub-rule (1)(b) of rule 80]

IN TRIPLICATE

FORM VAT - 402B

 

WAY BILL NO  

1. Name of the dealer using the waybill printed by him
 
 
  TIN
                     
 

2. Consigner of goods

NAME  
ADDRESS  
TIN  

3. Place of Despatch of Goods 4. State of despatch of goods 5. Dt. of despatch

(actual date / expected date)

    Dt. ______/ _______/____

6.Name of the entry /exit check gate  

7. Consignee of goods

NAME  
ADDRESS  
TIN
  CST No.  

 

8. Consigner despatching goods for [(Tick) Mark in the appropriate box]

Delivery to the buyer After purchase by self / by agent Branch transfer Consignment sale Execution of

Works contract

Transfer of right to use Any other

reason, agent (please specify)

             

9. Details of Invoice / Challan / Other Document(s)

Sl No. Commodity & Code Invoice / Challan (in case of sale / Purchase) / Other document (other than sale / purchase) Quantity Value
S No.  Date      
           
           
           

10. Vehicle / Carrier Detail - Vehicle Regd. No. Driver's Name Lorry / Transport / Railway Receipt No.
.

 

.

 

.

 

Owner of the Vehicle Transporter's Name & Address
.

 

.

 

11. Signature of the Dealer

.

Seal