SUVIDHA Out to Out Form

Form "D-VII"

SUVIDHA Number

1012108505830715

Applicant Name

DRIVER SELF

Applicant TIN / TTAN

35091468727

Application Date

10/07/2015

Total Value

Rs. 129705.24

Likely Entry CheckPost

One Lakh Twenty Nine Thousand Seven Hundred Five Rupees AND Twenty Four
Paisa only
Barahat Check Post

Likely Exit CheckPost

Integrated Check Post Dalkola

Name

DASHRATH SHAW

Service Tax Number

PAN

AOLPS9179P

Phone Number

000000

Vehicle Number

WB37C4263

Engine Number

11J63181547

Chases Number

MAT466416B3126496

Truck Owner Details

Vehicle Details

Driver Details
Name

: ANIL KR YADAV

License Number

: 1411

Phone Number

: 00000000

Consignee - Consignor Details

Sr No.

Consignee name
Consignee
Consignor name
Consignor
(Consignee VAT TIN) Country (Consignor VAT TIN) Country
(State)
(State)

ANANT COAL
DEPOT
(18540104123)

India
(Assam)

MAA SHANTI
TRADING
COMPANY
(20601706326)

India
(Jharkhand)

Place of
Dispatch
DHANABD

Destination of
Consignment
GUWHATI

Consignment Details
Sr No.

Consignee - Consignor

ANANT COAL DEPOT MAA SHANTI TRADING

COMPANY

Seller invoice
number &
date
437
Dated
10/07/2015

Name of goods

Others 13.5% - HARD COKE

Page 1 of 1

Unit
Quantity
20.510
MT

Value

Rs.
129705.24