FORM 403

ORIGINAL
DUPLICATE
TRIPLICATE

(See sub-rule (5) of rule 51)

Declaration under Section 68 of the Gujarat Value Added Tax Act, 2003

(For goods entering into the State from outside the State)
To,
The officer in charge
Check post
(1) Place to which goods are dispatched
(2) Place from which goods are dispatched
(3) Details of goods invoice No
(4) Consignees details :
Name
Address

District
District
Date
State
Registration
Certificate No
Date
CST
registration No.
Date

Telephone
Fax No.
(5) Nature of Transaction :
:1: Inter state sale
:3: Depot Transfer
:5: For Job works/Works contract
:6: Any Other
(6) Consignors details :Name
Address

:2: Transfer of documents of title

:4: Consignment to Branch/Agent

Telephone
Fax No.
Consigned Value Rs.
Sr. Description of Goods
Commodity
No.
Code
1
2
3
4
(7) Transporters Details : (a) Name
(b) Address

Registration Certificate No
Date
CST
registration
No.
Date
Unit
Quantity

Rate of Tax

Value

(c) Owner/ Partners Name

(8) Vehicle No

L.R.No.

Date

(9) Drivers Details

(a) Name
(b) Address
(c) Driving License No.
(d) License issuing State
(e) Drivers Signature

(10) Name of the Address of person in charge of goods

Seal

Place :

Signature :

Date :

Designation :

For Commercial Tax Department/Check post

Entry No.
Vehicle
Arrival
Depart
Date

Reason of abnormal
stoppage
Date

Time

Signature

Designation

Result if any