XYZ CO.

Original

Address Duplicate
Company
Logo Phone Triplicate
GSTIN Extra OC

Delivery Challan
Challan Number: Mode of Transport:
Challan Date: Vehicle number:
Date :
State: PIN
Code Place

Details of Receiver
Name:
Address:

GSTIN:
Pin
State: Code

S. HSN Discoun Taxable

No. Description of Goods code Qty Rate Amount t Value

Freight
Insurance
Packing and Forwarding Charges

Total 0 0 0 0 0
Total Invoice amount in words Ceritified that the particulars given above are true and correct

For XYZ & Co

Bank Details
Bank Name:
Account Number:
IFSC
Code:
Terms & conditions:-

Authorised signatory
Head Office Address:
CIN No.: