GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT Application for obtaining Declaration for Transport of certain goods and Permit thereof, under the Jharkhand VAT Rules, 06 [See Rule 42(1)(a) & 42(1)(c)] To, The ............... of Commercial Taxes. In accordance with the provisions of Rules 41(2) of the Jharkhand VAT Rules 06, I/we hereby (a) declare that the following consignment of ...... is being moved by me/us on my/our behalf from a place notified under section 69 of the Jharkhand VAT Rules 06 to .... by road / river craft/coolie. (b) Apply for a permit to transport the following consignment of .... from ... to .... by road/river craft/coolie. (c) Declare that the following consignment of ...... is proposed to be transported across the State of Jharkhand by me/us on my/our behalf by road/river craft. 1. Name and address of the dealer from whom purchased ...... 2. Name and address of the consigner 3. Name and address of the consignee 4. Place of dispatch ...... 5. Destination of consignment .... 6. Description of consignment .... 7. Quantity ..... 8. Value ...... 9. Consignor's Invoices no. and date 10. Mode of transport ...... 11. Railway Receipt or Bill of loading on Air/Note no. ........ 12. In case of transport by road .... i. Name and full address of the carrier (Transport Company, owner of the vehicle, etc.) ii. Details of the vehicle with its registration mark and number. iii. Name and address of the driver of the vehicle. iv. Name and address of the person, if any, in charge of the goods. 13. Remarks (if any) ........ I am/We are registered under the Jharkhand VAT Act 05, and possess Registration Certificate TIN No..... The foregoing statements and particulars are correct and complete to the best of my/our knowledge and belief. I/We also undertake to duly account to you for the disposal of the above goods, on completion of the movement and to pay tax on the sales thereof according to the provisions of the said Act and the rules made thereunder. I/We declare that the foregoing statements and particulars are correct and complete to the best of my/our knowledge and belief. I/We undertake to surrender one copy of this declaration to the authority or officer to whom I/we have been directed to surrender it. Signature of the applicant ....... Status in relation to the dealer .... Address .......... Name and style of the business for which application is made ......... Location of the place of business .......... Note: (1) A separate application should be made for each different consignment and for different destination. (2) In case of transport by road or river a copy of the permit should accompany the goods for production on demand, except when transported by a public steamer company. (3) (a) The declaration/application by a registered dealer, shall be signed by the proprietor of the business, if an individual by the Karta, if an undivided Hindu family, by an authorized partner, in case of a firm, by a managing director, managing agent or principal executive officer, in the case of a company or corporation; by the principal executive officer or officerincharge in the case of a society, club, association, department of Government or local authority; or by the manager declared under section 15 or by any one of these. Strike out whichever is not applicable. Entries in item 12 should be made before commencement of actual dispatch of the notified goods
