FORM JVAT 511 GOVERNMENT OF JHARKHAND COMMERCIAL TAXES DEPARTMENT Register of Delivery Note by a Clearing or Forwarding Agent [See Rule 45(3)] Name of the person / C & F agent Consignor and Consignee Date Name and CST regn. TIN Name and CST regn TIN Place of address of the consignor No. address of the consignee no. dispatch of goods (1) (2) (3) (4) (5) (6) (7) (8) Consignment Destination Invoice Date Description Quantity Value Name and Vehicle of goods no./GRN of goods of goods Consignment address of No. note no. the carrier (9) (10) (11) (12) (13) (14) (15) (16) Deliver Name and address of the driver Licence number of the driver Freight Mode of payment of freight Date of delivery/ receipt of goods Name and address of person taking delivery or delivering to the Bank through which delivery is routed Signature of person mentioned in column no (22) agent (17) (18) (19) (20) (21) (22) (23) (24) Signature and Date of the Authorised Person
