15 February 2009
FORM 403 (See sub-rule (2) of rule 51) Declaration under Section 68 of the Gujarat Value Added Tax Act, 2003 (For goods entering into the State from outside the State) To, The officer in charge Check post…… (1) Place to which goods are dispatched____________________ District___________ (2) Place from which goods are dispatched__________________ District___________ (3) Details of goods invoice No_____________Date_______________ (4) Consignee’s details: Name State State VAT No. Address Date Telephone CST No. Fax No. Date (5) Nature of Transaction: :1: Inter state sale :2: R.R. Endorsement :3: Depot Transfer :4: Consignment to Branch/Agent :5: For Job works/Works contract :6: Any Other (6) Consignor’s details: - Name State VAT No. Address Date Telephone CST No. Fax No. Date Consigned Value Rs.____________________ Sr. No. Description of Goods Commodity Code Unit Quantity Rate of Tax Value 1 2 3 4 (7) Transporter’s Details: (a) Name ________________________________________ (b) Address_______________________________________ _______________________________________ _______________________________________ (c) Owner/ Partner’s Name __________________________ (d) Signature (8) Vehicle No___________________ L.R.No.________________Date____________ (9) Driver’s Details (a) Name____________________________________________ (b) Address __________________________________________ __________________________________________ (c) Driving Licence No. ________________________________ (d) Licence issuing State________________________________ (e) Driver’s Signature (10) Name of the Address of person in charge of goods _________________________ Seal Place : _____________________ Signature :___________________ Date : _____________________ Designation : ________________ For Sales Tax Department/Check post Entry No. Reason of abnormal stoppage Result if any Vehicle Date Time Arrival Depart Date__________________Signature________________Designation_______________