DATE:

REQUISITION FOR FORM e-SUGAM

CONSIGNOR
TIN*

NAME OF THE
CONSIGNOR*

28270149921

JSW Steel Limited

do
do
do
do

do
do
do
do

ADDRESS OF THE
CONSIGNOR*
Surya Towers, S P Road,
Secunderabad.
do
do
do
do

TOTAL
GOODS
UNITS OF
QUANTIT
DESTINATION ADDRESS* DISCRIPTI
MEASUR
Y/WEIGHT
ON*
MENT*
*
YTPS, Shaktinagar, RTPS,
Raichur, Karnataka.
do
do
do
do

TMT Steel

23.855

MT

do
do
do
do

10.37
13.695
22.02
41.702

do
do
do
do

BASIC
VALUE*

TOTAL
CST/VAT
INVOICE
VALVE*
VALUE*

946804.46 19322.54

966127

403963.84 8244.16 412208

543555.04 11092.96 554648
857789.1 17505.9 875295
1655151.4 33778.6 1688930

TRANSPORT
COMPANY
NAME*
JAI BHAVANI
TRANSPORT
do
do
do
do

VEHICLE NO*

AP 29 U 288
do
KA 28 B 2917
do
AP 29 TA 2889

LR NO/ BILTY
INVOICE NO*
NO

12664

1441104039

INVOICE
DATE*
14.01.2015

1441104040 14.01.2015

12665
12663

1441104035
1441104038
1441104025

14.01.2015
14.01.2015
14.01.2015