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FORM - XXXVIII Department of Commercial Taxes, Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules, 2008] Form

of Declaration for import

Original Copy

Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Description of Goods 2. Weight / Measure 3. Quantity 4. Value in Figure 5. Value in Words

2013-2014/18131500359992 12/06/2013 Bhadohi Sector-1, DC 09615302380 Date(w.e.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013

6. Bill/ cash memo/ challan/ tax invoice number & date 7. Goods Destination Place 8. Name and Address of seller / consignor 9. TIN of seller / consignor

I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer.

Signature of authorized signatory 1 . Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no. 4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver. Demand No : 13189990073092 Multiple(Original) 1 Printed On : 12/06/2013 22:39:32

Name and Address of seller / consignor 9. Bill/ cash memo/ challan/ tax invoice number & date 7. Service Provider no. 6.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Name & address of Driver 5. if any 3. Weight / Measure 3. Value in Words 2013-2014/18131500359992 12/06/2013 Bhadohi Sector-1. of the carrier. Name & address of the Transporter / carrier etc. Driving License No. Carrier/ Truck no. Quantity 4. 4. Description of Goods 2. Demand No : 13189990073092 Multiple(Second) 1 Printed On : 12/06/2013 22:39:32 .XXXVIII Department of Commercial Taxes.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6.FORM . DC 09615302380 Date(w. Signature of the vehicle driver. 2008] Form of Declaration for import Second Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Signature of authorized signatory 1 . Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Value in Figure 5. the authorized signatory of the above named dealer. TIN of seller / consignor I. 2. -------------------------------------------------------------.e. Goods Destination Place 8.

FORM . the authorized signatory of the above named dealer. of the carrier. Weight / Measure 3. 2. Value in Words 2013-2014/18134800359993 12/06/2013 Bhadohi Sector-1. Value in Figure 5. Bill/ cash memo/ challan/ tax invoice number & date 7. DC 09615302380 Date(w. Description of Goods 2. Goods Destination Place 8. Name and Address of seller / consignor 9.XXXVIII Department of Commercial Taxes. 4. Name & address of Driver 5. 2008] Form of Declaration for import Original Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Demand No : 13189990073092 Multiple(Original) 2 Printed On : 12/06/2013 22:39:32 . Quantity 4. Service Provider no. Signature of the vehicle driver. 6. if any 3.e. Name & address of the Transporter / carrier etc.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Driving License No.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Signature of authorized signatory 1 . Carrier/ Truck no. -------------------------------------------------------------. TIN of seller / consignor I.

XXXVIII Department of Commercial Taxes. if any 3. Carrier/ Truck no. 2008] Form of Declaration for import Second Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Value in Words 2013-2014/18134800359993 12/06/2013 Bhadohi Sector-1. Signature of authorized signatory 1 . the authorized signatory of the above named dealer. 2. Service Provider no.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Goods Destination Place 8. Name and Address of seller / consignor 9. Signature of the vehicle driver. Bill/ cash memo/ challan/ tax invoice number & date 7. Value in Figure 5.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6. TIN of seller / consignor I. of the carrier.e. -------------------------------------------------------------. Weight / Measure 3. DC 09615302380 Date(w. Demand No : 13189990073092 Multiple(Second) 2 Printed On : 12/06/2013 22:39:32 .FORM . Driving License No. Description of Goods 2. Name & address of the Transporter / carrier etc. 6. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. 4. Quantity 4. Name & address of Driver 5.

4. Name & address of the Transporter / carrier etc.FORM . Bill/ cash memo/ challan/ tax invoice number & date 7. 2. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Name and Address of seller / consignor 9. Description of Goods 2. Driving License No. Quantity 4. if any 3. DC 09615302380 Date(w. of the carrier. Service Provider no. Value in Figure 5. Demand No : 13189990073092 Multiple(Original) 3 Printed On : 12/06/2013 22:39:32 . the authorized signatory of the above named dealer. Weight / Measure 3. Signature of the vehicle driver. 6. Value in Words 2013-2014/18133400359994 12/06/2013 Bhadohi Sector-1. -------------------------------------------------------------. Carrier/ Truck no.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. TIN of seller / consignor I. Name & address of Driver 5. Goods Destination Place 8. Signature of authorized signatory 1 .XXXVIII Department of Commercial Taxes.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6.e. 2008] Form of Declaration for import Original Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1.

Name & address of the Transporter / carrier etc. 6. 2. Name & address of Driver 5. Value in Words 2013-2014/18133400359994 12/06/2013 Bhadohi Sector-1. Signature of the vehicle driver. 4. of the carrier. Bill/ cash memo/ challan/ tax invoice number & date 7. Carrier/ Truck no. the authorized signatory of the above named dealer. DC 09615302380 Date(w. TIN of seller / consignor I. -------------------------------------------------------------. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Driving License No. Value in Figure 5. Weight / Measure 3. if any 3.FORM .XXXVIII Department of Commercial Taxes. Name and Address of seller / consignor 9. Goods Destination Place 8. Description of Goods 2. 2008] Form of Declaration for import Second Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Quantity 4. Signature of authorized signatory 1 .f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6.e. Demand No : 13189990073092 Multiple(Second) 3 Printed On : 12/06/2013 22:39:32 .do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Service Provider no.

DC 09615302380 Date(w. TIN of seller / consignor I. Signature of authorized signatory 1 . Description of Goods 2. Demand No : 13189990073092 Multiple(Original) 4 Printed On : 12/06/2013 22:39:32 .f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6. Weight / Measure 3. 2008] Form of Declaration for import Original Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Signature of the vehicle driver. Driving License No. Value in Figure 5.FORM . Bill/ cash memo/ challan/ tax invoice number & date 7. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Name and Address of seller / consignor 9. the authorized signatory of the above named dealer. 6. 2. Name & address of the Transporter / carrier etc. of the carrier.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Name & address of Driver 5. Goods Destination Place 8.XXXVIII Department of Commercial Taxes. if any 3.e. Service Provider no. Quantity 4. -------------------------------------------------------------. Carrier/ Truck no. 4. Value in Words 2013-2014/18137600359995 12/06/2013 Bhadohi Sector-1.

Quantity 4. Name & address of Driver 5. Signature of authorized signatory 1 . 2008] Form of Declaration for import Second Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Name and Address of seller / consignor 9. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Demand No : 13189990073092 Multiple(Second) 4 Printed On : 12/06/2013 22:39:32 .XXXVIII Department of Commercial Taxes. if any 3.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6. Weight / Measure 3. the authorized signatory of the above named dealer. Description of Goods 2. Name & address of the Transporter / carrier etc. of the carrier. 6. Driving License No. -------------------------------------------------------------. Service Provider no. Bill/ cash memo/ challan/ tax invoice number & date 7. Carrier/ Truck no.FORM . Value in Figure 5. Signature of the vehicle driver. 4. Value in Words 2013-2014/18137600359995 12/06/2013 Bhadohi Sector-1. DC 09615302380 Date(w. Goods Destination Place 8. TIN of seller / consignor I. 2.e.

2. if any 3. Weight / Measure 3. Bill/ cash memo/ challan/ tax invoice number & date 7. Demand No : 13189990073092 Multiple(Original) 5 Printed On : 12/06/2013 22:39:32 . TIN of seller / consignor I. Service Provider no. Quantity 4. 6. the authorized signatory of the above named dealer. -------------------------------------------------------------. Driving License No. Goods Destination Place 8. DC 09615302380 Date(w. of the carrier.FORM . Signature of authorized signatory 1 . Name and Address of seller / consignor 9.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. 2008] Form of Declaration for import Original Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. Value in Words 2013-2014/18133600359996 12/06/2013 Bhadohi Sector-1. Value in Figure 5. Name & address of Driver 5. Name & address of the Transporter / carrier etc.e. 4. Description of Goods 2. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules. Signature of the vehicle driver.XXXVIII Department of Commercial Taxes. Carrier/ Truck no.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6.

DC 09615302380 Date(w. Name & address of Driver 5. 2008] Form of Declaration for import Second Copy Form 38 Serial No Date of Issue Assessment Office TIN Name of Dealer Address of Dealer 1. -------------------------------------------------------------. Value in Figure 5. Description of Goods 2. Driving License No.do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer.FORM . TIN of seller / consignor I. 4. Weight / Measure 3. of the carrier. the authorized signatory of the above named dealer. Signature of the vehicle driver. Goods Destination Place 8. Service Provider no. Quantity 4. Value in Words 2013-2014/18133600359996 12/06/2013 Bhadohi Sector-1. Signature of authorized signatory 1 . Bill/ cash memo/ challan/ tax invoice number & date 7. Name and Address of seller / consignor 9. Carrier/ Truck no. Name & address of the Transporter / carrier etc. if any 3. 2.XXXVIII Department of Commercial Taxes.e.f) M/S HANUMANT ENTERPRISES MIG -22PHASE-1 RAJPURA COLONY BHADOHI 08/05/2008 Date of Expiry 12/09/2013 6. Demand No : 13189990073092 Multiple(Second) 5 Printed On : 12/06/2013 22:39:32 . 6. Government of Uttar Pradesh [See rule-53(a) of the UPVAT Rules.