FORM ST-34 [ See rule 40-A(c) (h) (i) (ii) and (iii)j] CERTIFICATE OF OWNERSHIP ( in triplicate) Book No...... Serial No.... Circle of Issue ........ Division...... 1. Full name and address of the person Who owns the goods. 2. Full name and address of the dealer From whom goods were purchased Along with- GST No.....CST No..... Invoice No.......and Date...... 3. Full name and address of the consignor along with- G . S . T No...... C . S . T No..... 4. (i) Full name and address of Transport Agency to whom goods are delivered for transportation. (ii) G.R / R.R No........ and Date...... (i) Place of despatch (ii) Place of destination. 5. Particulars of goods (i) Description (ii) Mark, if any (iii) No of packages. (iv) Weight (v) Value (vi) Purpose for which the goods are To be transported ( whether sale/ Manufacture/transfer of goods/ Execution of contract etc.) 1. If for sale/supply or execution of contract the person/office/dealer to whom the goods are sold along with-_______________________ G.S.T No..... and CST No...... 2. If for transfer otherwise than on sale the name and full address of the transferee along with-________________________ GST No...... & CST No..... if any 3. Name of the Circle and place at which the Purchaser/transferee is assessed to tax DECLARATION I/We........ declare that to the best of my/our knowledge and belief the information furnished above is true and correct. Place..... Signature of dealer or his Authorised agent, Date...... Status & relation with dealer Note:-Ist foil- to be retained by the dealer. IInd foil- to be attached with the monthly return under section 15-B by the transporter. IIIrd foil- to be retained by transporter for its record.
