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ci#Dargl CONSIGNMENT NOTE
Driver Copy
PsN:{W
(J Darct Lqiistics Umited Brinch:
(Formerly known as Dard LoaEtjcs umiLedl
Registered Office: t
Plot No. 55P, tnstirutirnat Area I
Sector 44, Gurugram-i22OO3 (Harvano)
Phone . 9015202121 ,25-26..
D6EE18 phone No : 70 a242oloo I
Custome. Support : Emaitr c! stomerseMceOcrdarc PAN No: AAA<:D2(,a6,
I.com
Common Canler Llc€rse t{o , i 26/STA/0320i 8 iafid rr.tn I
lssued bv is.T.A.l Chandioar ir d6r Cariaos bv Road 21 .3.2O1A b 26_3_2o2e
I !!!?!qz-r!-B!fss2!l!_ I
Work Order Detaits
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iilg oaaEtotl
,i , ---s-___-_--__J_--_I D"t",
v rrrq rr!E t^flrs,
_____=___ {__
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Delivery Station t .,
_______.r___] _l44-;.{ll_
Transit Days Load Type
consignor Details Cons ignee Detai l5
Name ,t : ; .' .' Nam( l:
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Addresi: ti
Addr ess:
:
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GSTIN ,
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GSTI N
Said to Contain *q
Product Itght'r MI
No of Pkg Value of Goods Rs. Net Weight :
!\fY ri '
-_-^------.-----.7---{ Gross Weight
.j tl ':rr" {-ri tr Minimq{! G uarantee Weiqht
:t, ;.L
-i Freight Charge Amount
1, . .. .. ;i , 'VUUS Tc Yt \l
- Da-t-F- ; :
'r,'{IlJivro-n rn-,nr,., lFreioht :
n0 VStc^,r
RT D'rC,t' ,
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Sp,,rsbii*'"Y,] lfla te PlvlT : +6_--
(ecerved qoods as per dctails
above lol drr,dge suolecl to the
(
ca9+rr ,*e mowuAtrvFPlc, +_----
lAdvance ,

:
t?alance
T--
I D oc. Date I Basis of Booki no
E-Way Bill No:-/ST Form Itr To be b i ed ar
rrvurce l\0. I _. ! 1',
. J.i
*r-f , ----l- lgranch: . f. !.-,
rne compaly is nor respoi.,bl4;or r ar i- /j-:!a-:1!{+-lelr.r.i E To Pay --E-pE
c. s.T. & I I,\l rios., E v/.y B. No GsT";,;".",rifn
, N;., s.,.tol;r,i
16,(,:-\ r,L I is..r€F a$ab! d--
(:qT +^ h^ -^rl H1Yl"'""'i,Lc=t.,tt
uovernment Dy-'l |! , LLd:adI Tlansit Insutance By
'Elai: i I c
tl Consignor I Consigree '=Tp.''t',17 9i.De E Carrier E Customer
ll GrA Name cf Insurance Compan]
n Exempt,2 lReteAs yng,batsl;
' "'*,*.*,"#HH!:,:.-r:.-r!;E;Fr6 ;*; Ii eas6 n foiLPe\qui-orr;
' xmru;?.J.1-*#*5ig*:,t #if; tr; i; _";g1 Policy No. :
#fJ': iH;,1r1--!JF"**t ##li"tllK,.t x::.i:r?:,tL"; Policy Date
msp,dd&n@cn'l'laY@'9lB
l]DttliBhmwehebvdePa!
iigna'iure or icnsiijiror. nep.
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L_.],jJ
d^ ;ilil ffi ,il.ff",1i"1;f;i.1lh: ;; J',lot Responsible for Breakage/Leakage

Consignor Details /s." T-.-. Any otner Rerrarks


Lodctng 5upervis ils
Name & Signature of Rep. 9r,l (see Terms overren
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: Name & Signaiu re: :-1
f,

=_..----
lJestgnation:
Employee Codd.:

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any reason whatsoever
.""ryllJ"i,f.f"'r:::1"-t":1s."'
lff fff damaee to -desouctiq.
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or
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however arisjng.
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charges/expenoilu.e "'_* :#yl'ffi
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incuir"a. ro "ffi
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Exide lndrrstried Limited
SurveyNo.246,Chichurakanapalli,sevaganapalliPanchayath,
Hosur Tk,Krishnagiri Dt,TamilNadu-6351 03

Ticket Printing Date 07-o',l-2021 00:00:00

HOSR , Truck No : uP25CT8366


Plant Code :

20268 Trans code : 30001'12847


Entry No :

CJ DARCL LOGISTICS
Type : 0000'102037 Transporter: LIMITED

COMM GATE Tare Weight :


12900.00
Gate No :

Gate Entry Time : o6'of io21 18:30:42 Gross Weight : 32230.00


I
Net Weight : 19330.00

07 -o1-2021 11:O4:12

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