FORM ST-36 [ See rule 40-A(e) (F)] RECEIPT & DELIVERY REGISTER OF TRANSPORT/ CLEARING AGENCY (INWARD) Name of the Transport Agency.............. Head Office in the State at................ 1 2 3 4 5 6 S.No Date of Vehicle Challan Booking Delivery Receipt No. _______ station station. No Date 7 8 9 Goods Receipt Name & full address of Name & full address of - - - - - - - - - - - - the consignor of goods & the consignee /buyer of No Date CST No the goods and -- - - - - - -if any CST No GST No - - - - - - - - - if any GST No. 10 11 Description of goods Reference to No of Nature of Value of Consignors Way Bill Pkgs. goods the goods Certificate of the Tpt. Of ownership agency. No Date No Date 12 13 14 Date of Particulars of the person Details of variations of goods Delivery to whom goods are delivered if any during transit Name & full His rela- Registration Sales Quantity Value address of tion with No. Tax the person dealer - - - - - - - - - - Circle - - - - - - - - - - - taking GST CST in Rs. P. delivery of which goods. Assessed 15 16 17 Reference to Signature of the Freight No. date of persons taking - - -- - - - - - - - - - - -- - - - - - - - - - - - - - - - - delivery To pay Paid Delivery Declaration _________________ Note Rs. P. Rs. P. 18 19 20 21 22 Toll Tax Octroi Other charges Total Amount Remarks Rs. P. Rs. P. Rs. P. Rs. P. Rs. P.
