M/s. R.J.B. SHIPPING & LOGISTICS PVT. LTD.

,
Balayya Sastry Layout, Seethammadhara, Visakhapatnam - 13
DUMPER CHALLAN

S.No. : Date :

Vessel Name : Shift :

Unloading Point :
Party Name :
Supervisor :
Cargo :

Vehicle No. :

Loading Point :

Weight :
Receiver’s Signatures
 FORMAT-A
VISAKHAPATNAM PORT TRUST
TRAFFIC DEPARTMENT
No. ITRA/REV/Truck Teriminal/Pass Out Slip Dated :_______________

“TRUCK/LORRY PASSOUT SLIP”

The Truck / Lorrybearing Reg. No.___________________[to be filled by Stevedore] Carrying

Iron-Ore may be allowed to move out of the Truck Terminal Necessary Parking Charges have
beenpaid by the driver/Supervisor / Stevedore.

The aforesaid Truck/Lorry or account of__________________[Name of Exporter to be

filled by Stevedore] will be Unloaded / Loaded at plot No.________________FID No of the Plot to
be filled by stevedore] at the_____________________area [Location of Plot to be filled by
Stevedore] Entry inward for movement to the plot may Please be allowed.

Name & Signature of the Stevedore

[Company / Firm Name]

Slip No. :____________________[to be filled up by Traffic Dept.]

Issued Date :_________________[to be filled up by Traffic Dept.]

Exit from truck Terminal is Entry at NMDC Road is

Permitted Permitted

Time :_________________ Time :_________________

Date :_________________ Date :_________________

(Name /Designation/Signature) (Name / Designation/Signature)

Traffic Department Traffic Department
[Staff/Truck Terminal] [Staff/NMDC Road, Gate]