0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.

000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar …

F32101351/44 31-Mar-2021 Destination JH02AV1825 Copy 400.000 01 Apr F32101351/44 31-Mar-2021 Check JH02AV1825
Gate Copy 400.000 01 Apr
2021 1:10:05 AM TRANSPORT CHALLAN 2021 1:10:05 AM TRANSPORT CHALLAN
FORM "D" FORM "D"
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
[Rules 9] [Rules 9]
2021 1:10:05 AM
(See section 23-C of Mines & Minerals (Developement & Regulation) Act, 1957)
2021 1:10:05 AM
(See section 23-C of Mines & Minerals (Developement & Regulation) Act, 1957)
F32101351/44
ORIGINAL 31-Mar-2021 JH02AV1825 400.000 01 Apr
(NOT TRANSFERABLE) F32101351/44
ORIGINAL 31-Mar-2021 JH02AV1825 400.000 01 Apr
(NOT TRANSFERABLE)
Serial Number : F32101351/44 Date : 31-Mar-2021 Serial Number : F32101351/44 Date : 31-Mar-2021
2021 1:10:05 AM 2021 1:10:05 AM
Transportation for Inter State/Intra State Transportation for Inter State/Intra State
F32101351/44
(To be filled by the Dealer31-Mar-2021 JH02AV1825 400.000 01 Apr
before transport of mineral) F32101351/44
(To be filled by the Dealer31-Mar-2021 JH02AV1825 400.000 01 Apr
before transport of mineral)

2021
1. Name and1:10:05
Address ofAM the Dealer
JPL ENTERPRISES-MANNDARO KUCHU CHOWK 2021
1. Name and1:10:05
Address ofAM the Dealer
JPL ENTERPRISES-MANNDARO KUCHU CHOWK
ORMANJHI ORMANJHI
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
JPL ENTERPRISES-0514558531-MANNDARO KUCHU JPL ENTERPRISES-0514558531-MANNDARO KUCHU
2. Details of the Dealer’s Permit 2. Details of the Dealer’s Permit
2021 1:10:05 AM CHOWK ORMANJHI 2021 1:10:05 AM CHOWK ORMANJHI

F32101351/44 31-Mar-2021
3. Name of the Mineral/Grade
JH02AV1825 400.000 01 Apr
STONE Stone Chips -No Size
F32101351/44 31-Mar-2021
3. Name of the Mineral/Grade
JH02AV1825 400.000 01 Apr
STONE Stone Chips -No Size

4. Name and address of the purchaser to whom mineral has been sold and to be supplied 4. Name and address of the purchaser to whom mineral has been sold and to be supplied
2021 1:10:05 AM 2021 1:10:05 AM
Apex Concreto Infra Pvt. Ltd-Ring Road, Lalkhatanga,Tupudana Chowk , Namkum PS, RANCHI, Apex Concreto Infra Pvt. Ltd-Ring Road, Lalkhatanga,Tupudana Chowk , Namkum PS, RANCHI,
F32101351/44
JHARKHAND,Pin Code- 31-Mar-2021
834003 JH02AV1825 400.000 01 Apr F32101351/44
JHARKHAND,Pin Code- 31-Mar-2021
834003 JH02AV1825 400.000 01 Apr
5. Quantity (in Cft) 400.000 Vehicle No JH02AV1825
2021 1:10:05 AM 2021 1:10:05 AM
5. Quantity (in Cft) 400.000 Vehicle No JH02AV1825

6. Sale Price as mentioned in INVOICE 6. Sale Price as mentioned in INVOICE

F32101351/44 31-Mar-2021
(Submitted to Sales Tax Department) per 10.50 JH02AV1825 400.000
Total Sale 4200.00 01 Apr F32101351/44 31-Mar-2021
(Submitted to Sales Tax Department) per 10.50 JH02AV1825 400.000
Total Sale 4200.0001 Apr
Price Price
MT/CFT/M3 MT/CFT/M3
2021 1:10:05 AM 2021 1:10:05 AM
NA Royalty NA Royalty
7. Rate of Royalty NA NA
F32101351/44 31-Mar-2021 JH02AV1825
Amount 400.000 01 Apr F32101351/44 31-Mar-2021
7. Rate of Royalty
JH02AV1825
Amount 400.000 01 Apr
2021
8. Name and1:10:05
address ofAM Vehicle owners DIPU SINGH-NA 2021
8. Name and1:10:05
address ofAM Vehicle owners DIPU SINGH-NA

F32101351/44
9. Name and address of the 31-Mar-2021 JH02AV1825
Driver in case the minerals is to be transported400.000
by Road 01 Apr F32101351/44
9. Name and address of the 31-Mar-2021 JH02AV1825
Driver in case the minerals is to be transported400.000
by Road 01 Apr
2021 1:10:05 AM
LIYAKAT HUSSAIN,GIRIDIH-9304423198 2021 1:10:05 AM
LIYAKAT HUSSAIN,GIRIDIH-9304423198
F32101351/44 31-Mar-2021
10. Place of delivery of
JH02AV1825
Ring Road, Lalkhatanga,Tupudana Chowk ,400.000 01 Apr
Direct to Destination by
F32101351/44
10. Place of delivery of
31-Mar-2021 JH02AV1825
Ring Road, Lalkhatanga,Tupudana Chowk ,400.000 01 Apr
Direct to Destination by
Namkum PS, RANCHI, JHARKHAND,Pin Route Namkum PS, RANCHI, JHARKHAND,Pin Route
Mineral Road Mineral Road
2021 1:10:05 AMCode- 834003 2021 1:10:05 AMCode- 834003
Distance in(K.M.) 18.000 Distance in(K.M.) 18.000
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
11. Date of dispatch of 11. Date of dispatch of
2021 1:10:05 AM31 Mar 2021
Mineral
Time 07:10:05 PM
2021 1:10:05 AM31 Mar 2021
Mineral
Time 07:10:05 PM

F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr

I/We here by declare that the above statements are correct and complete to the best of my/our Knowledge
and belief.
F32101351/44
I/We here by declare that
and belief.
31-Mar-2021
the above statements JH02AV1825
are correct and complete400.000
to the best of 01 Apr
my/our Knowledge

2021 1:10:05 AM 2021 1:10:05 AM

Seal of Competent Officer Signature Of Dealer Seal of Competent Officer
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 Signature 01 Apr Of Dealer

Challan Valid Upto 01 Apr 2021 1:10:05 AM Printed on 31 Mar 2021 07:10:08 PM Challan Valid Upto 01 Apr 2021 1:10:05 AM Printed on 31 Mar 2021 07:10:08 PM
2021 1:10:05 AM 2021 1:10:05 AM
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
2021 1:10:05 AM 2021 1:10:05 AM
RESULT OF CHECKING IN ROUTE RESULT OF CHECKING IN ROUTE
F32101351/44
Designation 31-Mar-2021
and Head Quaters of the JH02AV1825
Description Quantity of the 400.000
Dated signature01 Apr
of the authority F32101351/44
Designation 31-Mar-2021
and Head Quaters of the JH02AV1825
Description Quantity of the 400.000
Dated signature01 Apr
of the authority
authority by of mineral Mineral mentioned authority by of mineral Mineral mentioned
2021 1:10:05 AM
whom the
checked.
transport of the mineral was actually
transported
in column-1
checking.
and place of 2021 1:10:05 AM
whom the transport of the mineral was actually in column-1 and place of
checked. transported checking.
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
2021 Note-1:10:05
(1) Separate AMform should be used for each consignment 2021 Note-1:10:05
(1) Separate AMform should be used for each consignment
(2) (a) In case of transport accross or byond check post a copy of the form should accompany the (2) (a) In case of transport accross or byond check post a copy of the form should accompany the
F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
consignment. F32101351/44 31-Mar-2021 JH02AV1825 400.000 01 Apr
consignment.
0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar 2021 07:10:08 PM|400.000|0514558531|F32101351/44|31 Mar …