Government of Karnataka

(Department of Commercial Taxes)

e-SUGAM FORM
See sub Section(2-A) of Section 53 read with Rule 157(1)(a)

Sl. No: 15581388959

Office of LVO of the Person Uploading

LVO-075

(a) Name and Address of the Dealer Uploading

UNIQUE PUNCH SYSTEMS PVT

LTD
(,PEENYA INDUSTRIAL AREA)

(b) TIN
I.

29770303732
(c) Date of Uploading the details
28/04/2015 09:39 AM
(d) Date of Transportation of goods/Likely date of entry of goods
28/04/2015

II.

Place
(i) From
(ii) To

KOLKHA
BENGALURU

Description of the goods(i) Name or class of goods consigned.

(ii) Quantity or weight.
III.
(iii) Taxable Value.
(iv) VAT/CST Collected.
(v) Other Amount if any.
(vi) Total amount.

OTHERS - HOLDER RING

3 ST
Rs. 24270
Rs. 485
Rs. 0
Rs. 24755

(i)Name and address of the owner of the goods vehicle or vehicle by which the goods are consigned.
IV.

BLUE DART

(ii)Registration number of the goods vehicle or vessel.

(iii) GC/LR No.
(iv) GC/LR Date

V.

Category of Transaction

Inter State After Purchase

Details of consignor and Consignee as Per Category:

27250598349
TRUMPF INDIA PVT. LTD.

(i) TIN of Consignor

(ii) Name and address of Consignor
VI.

29770303732
(,PEENYA INDUSTRIAL AREA)

(iii) TIN of Consignee

(iv) Name and address of Consignee

20462 - Invoice
27/04/2015

(v) Document No.

(vi) Document Date.

Date & Time of Printing

Exit

28-04-2015 09:39 AM