FORM VAT 36

(See rule 64 and 65)

Declaration for transport of goods to and from the State of punjab

COUNTERFOIL

1. Date of Issue _______________________ Serial No. _________________________

2. Name and Address of the dealer to whom issued ______________________________

3. VRN/TRN of the dealer to whom issued: ___________________________________

4. Particulars of the Issuing Officer

(The above entries to be filled in by the issuing authority)

5. Description of Punjab dealer sending goods from Punjab or receiving goods in Punjab

Name: __________________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________________

VRN/TRN: ______________________________________________________________

6. Description of the person to whom goods are sent or from whom goods are receiving goods in Punjab dealer

Name: ___________________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________________

TIN No. __________________________________________________________________

7. Nature of transaction: (sale / consignment / branch transfer / job work and like)

_________________________________________________________________________

8. Description, Quantity and value of goods

Total value of goods __________________

(Please use the reverse side if the names of the commodities are more)

9. Name and address of the transport company / owner of the vehicle by which the goods are consigned:

Name : ____________________________________________________________________

Address: ____________________________________________________________________

9A. Vehicle No.: ______________________________________________________________

9B. GR No. and Date: ___________________________________________________________

COUNTERFOIL (Reverse side of Form VAT-36)

8. Description, Quantity and value of goods

Total value of goods in figures ____________________ In words _____________________

FORM VAT-36

(See rule 64 and 65)

Declaration for transport of goods to and from the State of punjab

ORIGINAL FOIL

1. Date of issue ________________________ Serial No. __________________________________

2. Name and Address of the dealer to whom issued _________________________________________

3. VRN/ TRN of the dealer to whom issued: _____________________________________________

4. Particulars of the issuing Officer

(The above entries to be filled in by the issuing authority)

5. Description of Punjab dealer sending goods from Punjab or receiving goods in Punjab

Name: _______________________________________________________________________________

Address: _____________________________________________________________________________

_____________________________________________________________________________________

VRN/TRN: ___________________________________________________________________________

6. Description of the person to whom goods are sent or from whom goods are received by Punjab dealer

Name: _______________________________________________________________________________

Address: _____________________________________________________________________________

_____________________________________________________________________________________

TIN No.______________________________________________________________________________

7. Nature of transaction : (sale / consignment /branch transfer/ job work and like)

_____________________________________________________________________________________

8. Description, Quantity and value of goods

Total value of goods __________________

(Please use the reverse side if the names of the commodities are more)

9. Name and address of the transport company / owner of the vehicle by which the goods are consigned:

Name: __________________________________________________________________

Address: ________________________________________________________________

9A. Vehicle No.: __________________________________________________________

9B. GR No. and Date: ________________________________________________________

DECLARATION

I/ We declare that I / we am / are registered dealer under the Punjab Value Added Tax Act, 2005, holding VRN / TRN ______________________________ and the statements made are correct to the best of my / our knowledge and belief.

ORIGINAL FOIL (Reverse side of Form VAT-36)

8. Description, Quantity and value of goods

Total value of goods in figures ___________________ In words ___________________

Name of the dealer: __________________________________________________________

Signature of Proprietor / Partner / authorized person with stamp

Code and Name of the Information Collection Centre : ________________________________

Date of Endorsement: Date _________________ Month ________________Year _____________

FORM VAT -36

(See rule 64 and 65)

Declaration for transport of goods to and from the State of punjab

DUPLICATE FOIL

1. Date of issue _______________________ Serial No. ____________________________

2. Name and Address of the dealer to whom issued __________________________________

3. VRN/TRN of the dealer to whom issued: _______________________________________

4. Particulars of the lssuing Officer

Name____________________ District__________________ Ward___________________

(The above entries to be filled in by the issuing authority)

5. Description of Punjab dealer sending goods from Punjab or receiving goods in Punjab

Name: ______________________________________________________________

Address:_____________________________________________________________

____________________________________________________________________

VRN/TRN: __________________________________________________________

6. Description of the person to whom goods are sent or from whom goods are received by Punjab dealer

Name: _______________________________________________________________

Address:______________________________________________________________

____________________________________________________________________

TIN No. ______________________________________________________________

7. Nature of transaction:( Sale/consignment/ branch transfer/job work and like)*

_____________________________________________________________________

8. Description, Quantity and value of goods

Total value of goods________________________________

( Please use the reverse side if the names of the commodities are more)

9. Name and address of the transport company/owner of the vehicle by which the goods are consigned:

Name:________________________________________________________________

Address:______________________________________________________________

9A. Vehicle No. :_______________________________________________________

9B. GR No. and Date:_____________________________________________________

DECLARATION

I/We declare that I/we am /are registered dealer under the Punjab Value Added Tax Act, 2005, holding VRN/TRN________________________________and the statement made are correct to the best of my/our knowledge and belief.

DUPLICATE FOIL (Reverse side of Form VAT-36)

8. Description, Quantity and value of goods

Total value of goods in figures _______________________ In words ______________________

Name of the dealer: ______________________________________________________________

Signature of Proprietor / partner / authorized person with stamp

Code and Name of the Information Collection Centre : __________________________________

Date of Endorsement: Date _____________ Month _________________Year _______________