FORM 403

(See Sub-Rule (1) of Rule 51)

(For Goods entering in to state from outside the state)
The Officer in Charge _________________________
Sr. No.
(1) Place from which Goods are Dispatced : Mumbai
Dist:
Mumbai
(2) Place to which Goods are Dispatced :
Rajkot
Dist:
Mumbai
(3) Details of Goods Invoice No :
0001
Date:
1-Jan-12
(4) Consignor's Details
Name & Adress:
HIREN
ABC Enterprise
ALUMINIUM LTD.
Bhuvneshwari
Mumbai
Telephone
022 - 00000
Fax No.
022 - 00000

State
: Maharashtra
State VAT No. :TIN -11111111
Date
5/1/2005
CST No.:
Date :

(5) Nature of Transaction i) Inter State sale

ii) Depot Transfer
v) For Job Work/Works Contract
(6) Consignee's Details
Name & Adress

ii) R.R. Endorsment

iv) Consignment to Branch/Agent

XYZ Ltd.
Star Plaza,
Rajkot

State VAT TIN : 2400001234

Date
CST NO:
2450001234
Date

Fax No.
Consigned Value Rs.
111111.00
Sr No.
Discription Of Goods
1

Commodity Code Unit Qty.

Oil engine

(7) Transporter Details : a) Name

JJ Transport Company
Mumbai

111111
01/05/2005

b) Address

Rate of Tax

111111.00

(9) Drivers Details : a) Name

c) Owner/Partner's Name :

c) Driving Licence No. :d) Licence issuing state :-

d) Signature

e) Signature

8) Vehicle No. :
PLACE :

MH 02 1111

L.R. No.

MUMBAI

Value

1500 Kgs

DATE :

b) Address

1-Jan-12

Signature :
SEAL

DATE :

1-Jan-12

Entry No.

Designation :

Date

FOR SALES TAX DEPARTMENT / CHECK POST

Time Reason of abnormal stoppage

Result if any

Vehicle
Arrival
Depart
Date :

Guidance:
1
2
3
4

Sinature

Designation

Form no 403 is to be given in advance from whom we are purchasing goods (from outside Gujarat state)
Form No. 403is to be given in triplicate.
Form No. 403 is to be signed and stamp by gujarat dealer and then send it to outside state for the other dealers signature and stamp
Form No. 403 is must accompnying with the bill where the goods coming to gujarat.