FORM VAT-59 [See rule 68(c)] DELIVERY NOTE (In Triplicate) Book No...... Serial No...... Circle of issue.......... Division........ Name of the dealer with complete Address ............... ............... TIN : .............. Name and 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.........Date........place of despatch_______________ R.R Name & complete address of the consignor/ Seller along with :-TIN ______________________________ Serial No & date 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 (i.e whether Sales/Manufacture/Transfer/ execution of contract etc.) Particulars of the person authorized to take the Goods from the Tpt. Agency Name Status Signature Means of transportation from the Tpt. Agency/Rly.Stn/ Airlines Office to the premises of the dealer. Date....... For use by the Tpt. Agency No. & date of delivery Register in Checkpost..... Form VAT ........ Name of the person taking delivery goods..... And his relation with the dealer thereof ............. Signature of the Manager of with Regular employee of the Tpt. Agency checked Seal Note:-Ist Foil - IInd foil - IIIrd foil - Signature of the dealer or his Authorised agent,status/relation With dealer........ For use by the officer I/C CheckPost, Rly.Stn/Air Lines, Srinagar/Jammu. (i) Name of the (ii) Date of crossing of (iii)Goods, if detained brief reasons ................. ................. ................. Signature of the Officer designation by whom Countersignature of The Officer I/C To be retained by the dealer To be attached with the monthly return by transporter To be retained by transporter for its record.
