FORM ST XXIV-A DECLARATION [ See section 14-B(4) ] 1. Name and complete address of the consignor________________________________________ 2. Place from where goods were consigned____________________________________________ 3. Registration number of the consignor under the Punjab General Sales Tax Act, 1948/ Central Sales Tax Act, 1956, if any________________________________________________ 4. Name and complete addres of the consignee_________________________________________ 5. Registration Certificate number of the consignee under the Punjab General Sales Tax Act, 1948/ Central Sales Tax Act, 1956, if any_______________________________________________ 6. Destination of goods___________________________________________________________ 7. Description of goods___________________________________________________________ 8. Value of goods_______________________________________________________________ 9. Name and address of the person (if any) incharge of the goods_________________________________________________________________ 10.Name and address of the person driving the vehicle or incharge of an animal or other means of conveyance_______________________________________________________________ 11. Vehicle No._________________________________________________________________ 12. Name of the Owner of the goods _______________________________________________ Signature or thumb-impression of the person transporting the goods. Dated______________________ Signature of the Officer incharge of the Check Post to be appended after the check. Name of the Check-Post_________ Dated________________________
