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DELIVERY CHALLAN

From (consigner)

Name
Address
GSTIN
State and code

Details

Challan no.
Challan date
Vehicle number
Reason
supply / job work / on approval / own use / other

To (consignee)

Name
Address
GSTIN (if registered)
Place of supply (state and code)
S. No.Description of goodsHSNQtyUnitRate (₹)Taxable value (₹)GST %GST (₹)Total (₹)
1
2
3
4
5
6
7
8
9
10
11
12
Total
Amount in words
Total taxable value
Total GST
Total value of goods

Received the goods in good condition — receiver’s signature, name and date

For the consigner — authorised signatory

Original for the consignee · Duplicate for the transporter · Triplicate for the consigner

Free format from Billzova Trade™ — trade.billzova.com