GST Delivery Challan Format

Origional
Company
Company Rajasthan. PIN: 302001 Duplicate
Logo Triplicate
Tel: +91 0141-5117216
GSTIN:-27DEPR58895N123 Extra OC

Delivery Challan
Serial no. of Challan: Transport Mode:
Date of Challan: Vehicle number:
Date :
State: Code Place

Detail of Receiver
Name:
Address:

GSTIN:
State: Code

S. No. Description of Goods HSN code UOM Qty Rate Amount Discount Taxable Value

5 5500 27500 1500 26000

Freight
Insurance
Packing and Forwarding Charges

Total 5 5500 27500 1500 29000

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

For XYZ & Co

Authorised signatory
Head Office : 00, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
CIN NO : CIN ZZZZDEDDDDDDDDD