To The Sales Tax Officer, The Assistant Sales Tax officer CircleIn 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 purchased4. Destination 5. Description of consignment7. Weight 8. Value 9. Consignor's invoice number and date 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. 2. Name and address of the consignee 3. Place of dispatch6. Quantity 10. Mode of transport FORM XXXIII (See Rule 94 -B) Form for Declaration of Transport Published on National Portal of India (india.gov.in) Government of OrissaFinance Department Name of the person making the declaration in full Address Registration No. if registered. Signature and status of the person (making the declaration) (Signature) Yes No Published on National Portal of India (india.gov.in) Status of the Person
