cl' Dargl

CONSIGNMENT NOTE
Driver Copy
esn:fi 7294361i
Consiqnm€nt llo,
C, Darcl Logistics Limited
(Formerly Lnown aj Dar.r Llrqrstics Umited)
Registered Oltice:
Plot No 55P lnstitutronat Area,
Sector 44. Gurugram-122003 (Haryana)
Phone . 9O1 5202 121.25-26.
.":d/..L,# f
crN No u60222HR1386PLC068€18
CuslomerSupp^, Eharr .ustmer*tur86(:Gr I com PAN
Common (rIer L'ceose No . 726ISTA/O!,ZOiSVarid fiirm 27.3-2018 to 26.3.2028,
lssued by ls IA I chand'oart undercaEireby R;ar {ct 2007 and Rsles 2011.
'p'r'L""
No:
iro ihrr+zor
oo
AAACD2OA6J
,oryl,,*., n{l t ? d:, I
Work O rder Deta ils
W0 No. Date:
Loading StatioE ;,. ,-t' Dista nce (l(ms) Vehicle I{o.
'f i '7- -" I i -t .
Delivery Station ,, f
Consignor DetailJ ftl
" t" i---"1 Transit Days Load Type
@z
99
Name , ,."o,.1 r. 'iI L f+
t P; i lt '." !ft'i
r
A:
Address. ,o;d

fti
"oB
, 1o
GSTIN
said to contain : "i
!. ;; .:'!/ :-
-r. ,frrefght
in lJr
' .t- rt t
Product Packing i
,

re
o of Pkg fade or GoLas ns. NetWeight:.-.

'
-
f', r I ln-r -t ,' Gross Weight :- i ' i
"'n \"
: ! : 't rJ Minimum Guarantee Weight
'-l - ,
li rreisht Cl6rd{Affint
Z,V Freioht
gtf o [-'z r,rl;lqj)#
:

Rate PMT :

'Ltr L aaLt\c- tr.t YM.r 4"1 r\ 11 Idvance

R€(i... :..c,s as per d"tuit. ubo@
Party Document Details
Balance ;

Do€. Type I Doc. tto. TD* 5.t.-----_l B.sis of Booking

E To be bilied at
E-Way E,ll iJo:rsT Form
Branch: !, ,,.
Invoice lJo.
! not responsibte for an1|
r',:,' r I rrl, rl r :, E To Pay if " d f"i.f-
Ih-e!:--i:1.
c.S r i'l i'. ! E-WayBiINo.,cSANo-,S.T.Form&FirtlAdaressorconsignoi&consignee
Ttansit InsutaDce By
GST lo be paid to covernment by,1 Loading Detention Details
E Carrier E Customer
E Consignor [.] Consignee Reporting Date/Time: Name of Insurance Company
E GTA E Exempt*2 Releasinq Date/Time:
*'u*oaacv,csrstny*-
.2 sNG r.ftg.d::. 5. nept dfidd,xo.l42o17rsrdrda&)et Reason for Detentiont I t lt Policy No. :
d aqiolhr€ pltrd@ Hn( s* i riood !.*r
io,. P,* . n.q cilan. m*9*'r e(dE, m'd Policy Date :
'nddiq 'm@,
d@m.dpriedE 6ttu,r.d6Gc Signature of Consignor Rep. Not Responsible for Breakage/Leakage
.3 DeradDn w here b, d€dare 6Etre h* iotejj€d rernbx oEd dhn4 rrrur
*ryG & cap{.] goods fe pordns th. aurt bde svie d so.ds ,rarqift
Any Other Remarks
consignor Detaits (s€! rerms overrear) Loading superviso. o"lIiiG#G
Name & Signature of Rep, :

'r
T
i7
Designation: Employee codd:' ', {*
24lOPRNtO8t2K'tgt'12
 PSN-
CONDITIONS
responsrble lor loss,or damase to or
dest
I. rhe
1. the Cdrner will not receive or accept
carrier wlllnot lor canEqe sol
*@!ri'-Tll191?."11:'1*': Hi';#;';il-J""
##; llJil;;;"i;L
<lon€s. s€ornub.vdrll@E
valuabh rclB-end $edf
":aoc'mens una oue' i
age.ts:l ,[ 1L
v
,rot ".1
p
omeaT'
autt"i,:X' .J:'.;o(
to refeite '";;;:,;..'".
:"1
out of
e"::l i : i: ---' x
il il fuat"d
o; res,rrrns hom fo'ce narc''!e :ond'Iion
God. ..tr.r
6 ad(s) of e^a ac(s) nr war hostrliLies ahd war '
of war
or
ff fft*T &r'1,"- .,al-
any "*"p,"t ffi'T*lrl'*HL"iffii, !1, *g*:[,"',*". "trill;'ilff :
accetiriv srar
ffi1lffi5Htr.;
gooasmr caniage-
d;*ts*- oi' dri' wit be tf,& m
lffi
ffi
;=
f:f; 'ffiL*;"i"ir"i;-r
,:4Ere.*d -t
d'dJn uni'roglte"
i;'ou"*,g' 1i LTl
eTT.*Ela
"tio
ttre ac(s) *1lLlfl
of tt"ev"s':
ffi rH;-;-n-1,-'"1i'4'd'r,"9i11.0'3f93 ndnna, breakaqe,

caried bY the canier shotrld tJe

ffima'lxmy*sm*?#
abrE wE A;t *dg H"Pffi s#x*'&q
"11:a::;i*^iii Ji".i-"i",'*rst
ard allo'!, ofl.'€quest
or consiqn€qs) to

-- -,,"-.".irv.f 10 hours

iiii .rii aons'luerLcsre

".1€l/ liibl.
. h/rdes/exoeqdrrure rcu(tu : . :€ ur Lab,. iur tns< o:
6 i|.s .3r,e, ...:r. L._--1.,1,<
"1.,.I:T;;";..";.,J at o{ner nsr or r.. i:v
ro,. under 9^!
uil"sHffi ff x':gf, :Tj'"Iffi 'sEtr#l;:',]"fl ffi rJJ"JI
'1"":i*'"H;:: i"li i,-le- -:;.',,.'o" *o ,n" tu' sE sne
iiiur'"lir..",rdbt -p-,alized

r , -.Ba{c! C]
ct

Da Darcl Darcl
Darcl cI g2t0l-

Da;rcl cI
Darcl c, clH
c}. Darcl ct
I
C ft*ovrc!'ct
o"cT ro n*rn*' JURISDICTION ONLY)
l

i
 - CONSIGNMENT NOTE PsN:ff 7 zgasg?
Darcl I Driver CoPY
Consignment l{o.
Baanch:
,eistics Limited
-'wn as Darcl
.ed office:
Lqistits l]nnited) l-. ,,' '
tbnidnment oate
I
't 2 n7
55P lnst{utpnalArea
44 . Gutu$am'122oo3 lHl
- o^14tn? 121 25 26.
t,.--t-&-
thAI# l.ro l'?oa2a2o1. rl r") I t-- >/
, rlo UOOZzZXntSAOPLC06gS1 8 PAN No : AAACD2Oa6j slfr"iit"tv.l.t-o.
rrservice@cid. t2a,
1't.
i:$#fl :?i'lf ,lr,*"*:'?iHfi )arriaqe bv Roa
Work Ord er Deta ils
DatE:
WO No.
Disti ncc tnrtq
Loadlng Station tirt? I
/ Il,i ".1 :11 J -l -r
lJ
i;;;'-TT-''- a '
DeliYery
r;T::;i;tt
co;''il;;D"tuils /
station /
It t-
conslgnee uct,
Tr. hcit Davs l-oa'd
q6!
, -.,. f/ :r4
Name ,
fi,,t._,; t j",.y{/j Y,.t !' fName n
I
I
'o6
]l!
]

Address:
Address: ,.,{ t
F1'
I tl
1.(!i1

I csttN , '
'r"
,"^ riq
fuLiJr,t it' i,ri ' r,

Said to contain
Piacking vallue of Goods Rs' Netweisht.: .JF., -, .:i
o of Pkg
Product Gross Welqnf :-/
_ !
l, t I ,.' , ','[ JDt_. a-..'
-'. --l4'r*rrcuutu.t"eweig-#

.,
- -
-:- --- fi l.;
I
t, /
rl E.gh.ct#;MH;,
,.-:_-_)-'_- : '.1. l) t' -----,1-.-. rf ! _a-
Freiqht :
' I' Rate PMT :

ACvance
-
PF(( \
;;;ffi ."r'i..tio the conoitrons grven overlea[' Balance

F-a*vo"cr.e"t o.taik - , Basis of Booking

Doc, t{o, D oc. D ate
Doc, Type tr To be billed at
E-Way E,ll i.lo:rST Eorm "''? I Branch:
Invoice ll o.
w'r''
E r;Pr----?-"rofdia*
The c: - -;;"..." ,.1" r.;;nv ptnattv ir rhv+r E 4hr(li',s essenrrarjrsupEEU
& consrsnee Transit Insurance BY
i i'rr r.i-".. csi ro'., s r.l-orm & FuliAddrdsi or cons'9nor
"'-J Detention Details E
E Carrier Customer

tl Reporting Date/Time: Name of Insurance ComPanY

E Consignor Consignee
Tl GTA E Exempt*2 Releasing Date/Tirnei\ I
I
:-,- ' + * notnd Grde+ ca rBD'h hrrs d t-r Policy No.
I -= Reason for Detention:
. . tod Neidor no' ta2o' /{d\E_dr Ta rk \ Dd',al
' Policy Date :
- -0,
)- : .,;tbm oraqm,tueprdE. rJrt !i &+oodenin
, ' , ^'.
,. , .;. o"-. *.".. **F
l":".
"; sirnat'rrA;i cotsls no, Rep. llot Responsible for Breakage/Leakage
F h.c d eH tran b ftdd d rlF4 hBd
;Hi";-d'-; ;; ''q
# eod ftuc w or qo'ds th*Pdt Any Other Remarks
..i-.^.rtA}ril./<€TcmsowdeanLoadingsupervisorltsteils(seeTemsoveneai)
9 Name & Signature of ReP. -"." . sir"**" li-l l- -/
N
Ir
Designation:
24IOP}(N/UU/ZK lV/ lz

24tOPRNt08t2K19t12
 r. The carner willnot re(e,r" o.
**, *-.",-,"*--o,,i"*,
o i"-_p,"-*- i,i i,.'
r

soodsa.dEEff ;a.';;;F#]} ". "J,#ifi,t","ffir"":

1?lTij3f:jg.oo,mo,ts}a
varuabre
or,:crr v p ai o i 9. The Cani:' will not be rEsponsibte for toss
a@Eary
". "" any soodr arisins out of or resrnjrE r,*,
or dar,6g€ to_ff d€struEtir of
6trbe- If ae
g.ldr goodsfor
to.ce-.jli]*'-iaffi,ffii-#,
i""r*o d.-m#.
rnnacoevernr€5EtH
Espoftibility wiEEoeve,
i.J#ff .".H*#nffiJ*#,?Y#.,S but rot limited to ac(s) of cod, aqs; or
(wreo|.{ war be chdared or not), an ad
warh.e;6;# -# ##;:
-,GtuHurry
1 lhe
h r€sped ll,ered
rcstrans or detarnmens fikes flesat a ot*lv*1,
or;te;;d:;ffi
of Brblic
_Carier .rrn "q -'"pt y gd d dl htu rnat sf edcdd d_Eeru.,s/
rE nare uk pe,dEd hy coErrrEr dd ti{€ss ori*r,
any une(l,(fu and/or una(idabte erns gerries,, m[ a "rti ;#;1.":
T -s J-tr tlle acqs) of thieves,
)e.r4raa_ -.c-.1 .,.. .i.. ?c! 3..{r:.1 " n*, h.",. .t,-n^ GGffiLU .tHd;"T[ffi:
j:rrrr. jooo:..c..:.r.1J-c,.. - ' -* ; iluffoeldy of odim irstc",-
:... ],)Lce.. -
;,";;,ii:;J ;:,"::.:,il ;-: . i .,.,
..,^r""n",-" on.,.,.o,.,.-
.:
-. ---EEe, :

g::: l*;*t Sm;ffif"Uffif# ffi,,S - #

?i.ne'jor .all loss/ damage/ aesiruction o'-
oLt d o. ree..iE rm er* * u="rp"ni"r,
i,'i"itii li
ffJffor,u** tiijfiFd"';#t ;
3. tbrishabh and/ff frade goods, .f. Ui._Oo.erer aloa conrijmfu),, oorri9ieqs)

ir$j
c. ffi;gtr;;.'#T;"H
rne_canier resen es to. fud SE qrr,
harh.6 d/a ed"a haadous qoodVtioui{rs

rffur ag;+ ary reasons wtEtsoever.

aldE with qr taqorbtixl yd,ide hrr rc o.* *
trer represerfative(s), if any.

rooelraterrornany usrd oro6un-y lurc<lad

t c,i,fd.a,_ry;;; ffi;;'?
'ffi*ffi3#ffits\s.#s..#ffi
deerned fit by

and/or. $0.e_ at trE de.tiEiiry'sttir, ,_rr"d dd, _ Jd*.pe;;'lo-ffi

m *|.. *1 g__Te dE.dn€lEE a m
:laJ-Tur-nrs..
n","m*. .g u. sia.-=,f,;#,"J o".u*u* .ro* "-r,iJ.ii
[ffifg1gy^F_T:1?i'r be]eeoEiue ; du"-f", "ffiH#H ;'Hfi : * dE g6dE;.ia.epaidtotEG;;, '' - '-':; ' *;;i'; l'!i !i''gn' & outer
/ #.**-ffi-:T-*bj",r. to oont-a6/agreernenE
' eftered wiri
C(rEirErcdEillee the o."-,i"r t -
,-;l-sG1'i;ililid.#ff 1";"-f;"#l{ltii jg;"=*"w0," f5. All. typ6. of
as

. ]::]!,:,y :lT9 is not Eken by $re consqn€e,i.) ,,r,,n : ,roil, r._ u," disputes arbing out of this Consignment shall be
!,iir u, o, .
u I rro,
cr nI o€sonaEfii $e.ffi ,. :Y*9,l.tbi"donlybyapproprbbcourtsaCurugrai.
rr
.,rreni;;i,*"; #*:#;ffi ffi ',1* i'*J ""J, r"I",i! H=9!1EP1-g_ry_lEn
in
serr soods at tl|e corEisnor, colrsfinee o dedare their
trrc 3nd/or amount wh.Ch *ouh h.@ accrued Dv
apry
r".,i,"g;-i;;;;-;;;:""",;"J -. by lt.v
vll"ay of
oi fte'sht
freight and/or
and/o, g c,.t9, aa, 1".i,ai,s iiN N;. i.;,JTy
sErges/expendlir-e i1.rir.c
-dcsuea
mounl on accounl of any Hy":gglTlll91lggl
covt. of India. tf any (onsisnment ai- ae6,nj [);;i"i;U;il#;l
8. The canier wilt rlot under ary cirejrnstarEes, :::::9Tll9l:l9!f wi be soret, ridbre ,or a consequencB ;i;;o;;
De resporub€ or habte For loss or
:itrT..;i;51tr^Ln5
ctarm_ror compensarx,r.i, *;*.t
gly,"* -il,o
il ;;-, #;"-"::&"e;'
"t "-*"* ",r.iil:,"y
L:ir:{ .eseflres to i\Flf rh. rif,hr "i "rll and tlle Traflsport Op"r"# *"rr '#
"'i; llgrd-gre_
tr[E|d@edtort EErE
i,i no *"V
An tne aDove rerms & conoitions ttroiti---
OeriveV Acknowtedgment ,o O"
,\
rrg sznq; JT,0
I Jr;le -
T) loqJn o.l Aa+e J

v L ftece in g*S r,r,i)ttoil

lJ+o,l'
OYSLDAS

ix;ll [";,"'.'; lii;li]',", .-,^,

GURUGRAI JURISDICTEII ONLY)

(aLL SUBJECI IU suFuu'!._ --

 -

No.246, palli Fanchayath,

Hosur Tk,Krishnagir! Dt,Tami

i*,

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