FORM XXXIII Declaration of Transport (See Rule 94 -B) To The Sales Tax Officer, The Assistant Sales Tax officer........Circle In accordance with the provisions of rule-94-B of the Orissa Sales Tax Rules, 1947, I/We hereby declare that the following Consignment of .......... is to be transported by me/us from the .......... railway station/steamer station/air post/post office. 1. Name and address of the seller from whom purchased. 2. Name and address of the consignee (with registration certificate No, if any) 3. Place of dispatch 4. Destination 5. Description of consignment 6. Quantity 7. Weight 8. Value 9. Consignor's invoice number and date 10. Mode of transport 11. Railway receipt or bill of lading or air note number or the other document with its number required for the purpose of obtaining delivery of such consignment. 12. Remarks (if any) I / We hereby declare that I/We under the Orissa Sales Tax Act, 1947 and the above statement are true and correct to the best of my/our knowledge and belief. Name of the person making the declaration in full........... Address.......................... Registration No. if registered............... Signature and status of the person (making the declaration)
