Government of Andhra Pradesh

C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL

FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}

ORIGINAL - APVAT

Way Bill No. : 371511198111987

DIVISION - VISAKHAPATNAM

CIRCLE : ANAKAPALLI

1. Office of Issue : CTD-ON LINE SERVICE

2. Date of Issue : 19 Nov 2015 14:18:40

3. Name and address of the Dealer to whom Waybill issued by the CTD :
Name : VARDHMAN YARNS AND THREADS LIMITED
Address : PLOT NO 8/A PART,BRANDIX INDIA APPAREL CITY,SEZ PUDIMADAKA ROAD ATCHUTAPURAM
MANDAL,ANAKAPALLY,ANDHRA PRADESH,VISAKHAPATNAM,551011
TIN : 37280111638

STATE : ANDHRA PRADESH

4. Place From which consigned : TENALI BRANCH

To which consigned : PITHAPURAM

VAT371511198111987

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer
(a) In pursuance of sale for purpose of delivery to the buyer ; or
(b) After purchasing them; or
(c) From one of the shops or godown to an agent for sale;
(d) From shop or godown to another shop or godown for purpose of storage or sale; or
(e) To his principal, having purchased them on his behalf ; or
(f) To his agent for sale on consignment basis.
(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :
(Buyer or self or Agent or Principal)

Name : SRI BHAVANI FANCY & GEN STORE

Address : NO 7-3-13A(1), NEAR FORT GATE, PITHAPURAM-533460

TIN : KDA/01/3/1581

6. Description, Quantity and Value of the Goods

Commodity
TAILORING MATERIALS

Invoice No./Date
A515004383 / 19-112015

Quantity
2.0000
CASES
TOTAL

Value (Rs.)
14,171.00
14,171.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :
Type of Transportation : Parcel
Service

Transporter Name : BMPS

Vehicle/Vessel No. : BYTRANSPORT

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

VAT371511198111987

Government of Andhra Pradesh

C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL

FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}

DUPLICATE - APVAT

Way Bill No. : 371511198111987

DIVISION - VISAKHAPATNAM

CIRCLE : ANAKAPALLI

1. Office of Issue : CTD-ON LINE SERVICE

2. Date of Issue : 19 Nov 2015 14:18:40

3. Name and address of the Dealer to whom Waybill issued by the CTD :
Name : VARDHMAN YARNS AND THREADS LIMITED
Address : PLOT NO 8/A PART,BRANDIX INDIA APPAREL CITY,SEZ PUDIMADAKA ROAD ATCHUTAPURAM
MANDAL,ANAKAPALLY,ANDHRA PRADESH,VISAKHAPATNAM,551011
TIN : 37280111638

STATE : ANDHRA PRADESH

4. Place From which consigned : TENALI BRANCH

To which consigned : PITHAPURAM

VAT371511198111987

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer
(a) In pursuance of sale for purpose of delivery to the buyer ; or
(b) After purchasing them; or
(c) From one of the shops or godown to an agent for sale;
(d) From shop or godown to another shop or godown for purpose of storage or sale; or
(e) To his principal, having purchased them on his behalf ; or
(f) To his agent for sale on consignment basis.
(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :
(Buyer or self or Agent or Principal)

Name : SRI BHAVANI FANCY & GEN STORE

Address : NO 7-3-13A(1), NEAR FORT GATE, PITHAPURAM-533460

TIN : KDA/01/3/1581

6. Description, Quantity and Value of the Goods

Commodity
TAILORING MATERIALS

Invoice No./Date
A515004383 / 19-112015

Quantity
2.0000
CASES
TOTAL

Value (Rs.)
14,171.00
14,171.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :
Type of Transportation : Parcel
Service

Transporter Name : BMPS

Vehicle/Vessel No. : BYTRANSPORT

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

VAT371511198111987

Government of Andhra Pradesh

C.T.DEPARTMENT
(Self Printed APVAT e-Way Bill)

FORM OF WAY BILL

FORM X or FORM 600

{See Rules 33(1)(d) & 55(1)&(4)}

TRIPLICATE - APVAT

Way Bill No. : 371511198111987

DIVISION - VISAKHAPATNAM

CIRCLE : ANAKAPALLI

1. Office of Issue : CTD-ON LINE SERVICE

2. Date of Issue : 19 Nov 2015 14:18:40

3. Name and address of the Dealer to whom Waybill issued by the CTD :
Name : VARDHMAN YARNS AND THREADS LIMITED
Address : PLOT NO 8/A PART,BRANDIX INDIA APPAREL CITY,SEZ PUDIMADAKA ROAD ATCHUTAPURAM
MANDAL,ANAKAPALLY,ANDHRA PRADESH,VISAKHAPATNAM,551011
TIN : 37280111638

STATE : ANDHRA PRADESH

4. Place From which consigned : TENALI BRANCH

To which consigned : PITHAPURAM

VAT371511198111987

5. IF THE CONSIGNOR IS TRANSPORTING THE GOODS : In pursuance of sale for purpose of delivery to the buyer
(a) In pursuance of sale for purpose of delivery to the buyer ; or
(b) After purchasing them; or
(c) From one of the shops or godown to an agent for sale;
(d) From shop or godown to another shop or godown for purpose of storage or sale; or
(e) To his principal, having purchased them on his behalf ; or
(f) To his agent for sale on consignment basis.
(Mark whichever is applicable)

Name and address of the Other Dealer/Person to whom the Goods are Consigned or from whom Goods were Purchased :
(Buyer or self or Agent or Principal)

Name : SRI BHAVANI FANCY & GEN STORE

Address : NO 7-3-13A(1), NEAR FORT GATE, PITHAPURAM-533460

TIN : KDA/01/3/1581

6. Description, Quantity and Value of the Goods

Commodity
TAILORING MATERIALS

Invoice No./Date
A515004383 / 19-112015

Quantity
2.0000
CASES
TOTAL

Value (Rs.)
14,171.00
14,171.00

7. Name of the Owner of the goods vehicle or vessel by which the goods are consigned :
Type of Transportation : Parcel
Service

Transporter Name : BMPS

Vehicle/Vessel No. : BYTRANSPORT

DECLARATION : We certify that to the best of my/our knowledge the particulars furnished here are true and correct.

Signature of the Dealer to whom Waybill issued by the CTD

VAT371511198111987