FORM IV [See rule 6] DELIVERY NOTE Book No.... Serial No....... Name of the importer with complete ............................................. Address ............ Name & complete address of the Tpt/ clearing agency/Rly. Stn./Airlines Office from which the goods are released in the J&k State. G.R No.......Dated..... place of despatch...... R.R Name & complete address of the consignor along with: GST No...... CST No...... Serial No & date of Bill of Sale Cash Memo Transfer Voucher Particulars of goods : (i) Description. (ii) Mark, if any (iii) No of packages (iv) Weight. (v) Value (vi) Purpose of import Particulars of the person authorized to take the Goods from the Tpt. Agency/Clearing agency Rly stn./Airlines office i) Name ii) Status. iii) Signature. Means of transportation from the Tpt. Agency/clearing agency Rly. Stn./Airlines office to the premises of the importer. Date...... Signature of the importer or his Authorised agent, status/relation With importer........ For use by the Tpt. Agency/ Clearning agency No. & date of delivery Register Name of the person taking delivery and relation with the importer Signature of the Manager or regular employee of the Tpt. Agency. For use by the Officer I/C Checkpost RlyStn /Air Lines, Srinagar/Jammu. (i) Name of the Checkpost..... (ii) Date of crossing of goods..... (iii) Goods, if detained brief reasons thereof Signature of the officer with designation by whom Checked. Countersignature of the officer I/C
