Form D-VI Sl No.: Form of Challan (to be used in the case of intra-state stock transfers) [See Rule 26(2)] COUNTERFOIL (To be retained by the Transferor) 1. Serial Number ....................................................................... 2. Date .................................................. 3. Name of Transferor ................................................................................. 4. TIN of Transferor ........................................................... 5. Description of Goods ....................................................................... 6. Quantity of Goods ........................................................................... 7. Transfer Value ................................................................................... 8. Name of Transferee ............................................................................. 9. TIN of Transferee .................................................................. 10. Details of Mode of Transport .................................................. 11. Number and date of consignment .................................................. note/document evidencing ............................................................... transportation of goods ...................................................................... 12. Place of dispatch ...................................................................................... 13. Destination ................................................................................................... The above statements are true to the best of my knowledge and belief. Dated ............................... Signature Status ...................................................................... Form D-VI Sl No.: Form of Challan (to be used in the case of intra-state stock transfers) [See Rule 26(2)] ORIGINAL (To accompany the consignment of goods) 1. Serial Number ....................................................................... 2. Date .................................................. 3. Name of Transferor ................................................................................. 4. TIN of Transferor ........................................................... 5. Description of Goods ....................................................................... 6. Quantity of Goods ........................................................................... 7. Transfer Value ................................................................................... 8. Name of Transferee ............................................................................. 9. TIN of Transferee .................................................................. 10. Details of Mode of Transport .................................................. 11. Number and date of consignment .................................................. note/document evidencing ............................................................... transportation of goods ...................................................................... 12. Place of dispatch ...................................................................................... 13. Destination ................................................................................................... The above statements are true to the best of my knowledge and belief. Dated ............................... Signature Status ...................................................................... Form D-VI Sl No.: Form of Challan (to be used in the case of intra-state stock transfers) [See Rule 26(2)] DUPLICATE (To accompany the consignment of goods) 1. Serial Number ....................................................................... 2. Date .................................................. 3. Name of Transferor ................................................................................. 4. TIN of Transferor ........................................................... 5. Description of Goods ....................................................................... 6. Quantity of Goods ........................................................................... 7. Transfer Value ................................................................................... 8. Name of Transferee ............................................................................. 9. TIN of Transferee .................................................................. 10. Details of Mode of Transport .................................................. 11. Number and date of consignment .................................................. note/document evidencing ............................................................... transportation of goods ...................................................................... 12. Place of dispatch ...................................................................................... 13. Destination ................................................................................................... The above statements are true to the best of my knowledge and belief. Dated ............................... Signature Status ...................................................................... The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005. The declaration shall be signed by the proprietor of the business, if a proprietorship, karta if an undivided Hindu family; by an authorised partner, in the case of a firm; by the managing director, managing agent, or the principal executive officer, in the case of a company, by the principal executive officer or officer incharge in the case of a society, club or association, department or local authority, or by the manager, if any declared by one of these under section 22 of the Bihar Value Added Tax Act 2005.