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THE WEST BENGAL VALUE ADDED TAX RULES, 2005 : FORMS
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Original/Duplicate

THE WEST BENGAL VALUE ADDED TAX RULES, 2005

Form 50A

Way bill for transport of consignment of goods despatched from outside West Bengal to any place inside West Bengal

[ See rule 110B read with rule 100A, rule 103A and rule 104A]

Way bill Serial No. :
Key Number :
Office of issue :
Date of generation of theWaybill in Form 50A :
Valid upto :
1 Name and address of the Dealer/Person importing the goods :
  a) VAT R.C. No. :
  b) CST R.C. No. :
  c) Trade Name :
  d) Address of principal place of business :
  e) PIN :
  f) PAN :
2 Name and address of the dealer/person from whom the goods are purchased/imported :
  a) VAT R.C. No. :
  b) CST R.C. No. :
  c) Trade Name :
  d) Address of the place of Business :
  e) PIN :
  f) PAN :
  g) State of India/Union Territory of India/ Country other than India :
3 Mode of transport of goods in West Bengal :Road / Rail / Sea / Air / Others
4 Registration Certificate Number of the Motor Vehicle, if transport is by road :
5 Name, address and enrolment no. of the transporter/owner of the vehicle by which the goods are transported. :
  (a) Name :
  (b) Address :
  (c) Enrolment No. under the W.B.V.A.T.Act, 2003 (if any) :
6 Details of Consignment Note / Railway Receipt / Airway Bill / Bill of Lading/Bill of Entry or similar document :
  (a) No. :
  (b) Date :
7 Total No. of Invoices/tax invoices/cash memos/ bills/challans/forwarding notes etc. [details as per the Annexure to Form 50A] :
8 Total Value of Goods [details as per the Annexure to Form 50A] :
9 Possible Entry Location in W.B. :

Note: (a) Name of the District, if transport is by road

(b) Name of the railway station/port/airport, if transport is by rail/sea/air

Declaration..- *I/We declare that the information furnished as above are correct to the best of my/our knowledge and belief.

Signature ....................
Name of the person signing the way bill .....................
Status of the #person signing the way bill ...................
[in relation to the importing dealer]  
# Proprietor/Partner/Director/Authorised Person, etc.  

ANNEXURE TO WAY BILL IN FORM 50A

DETAILS OF INVOICES / TAX INVOICES/ BILLS / CASH MEMOS / CHALLANS / FORWARDING NOTES ETC AND OF GOODS IN RELATION TO SL.NO.7 AND SL. NO. 8 OF WAY BILL IN FORM 50A

Way bill Serial No.  
Key Number  
Office of issue Directorate of Commercial Taxes, West Bengal, Kolkata
Date of generation of theWaybill in Form 50A  
Valid upto  

Details of Invoice/tax invoice/cash memo/bill/challan/forwarding note etc and description, quantity and value of goods

Sl.No.

 Invoice /tax invoice/bill

challan/ forwarding note etc.

Commodity Value of goods
No. Date Name Quantity Unit Rs.
             
             
             
             
             

Declaration.- *I/We declare that information furnished above are correct to the best of *my/our knowledge and belief.

Signature  
....................  
Name of the person signing the Declaration  
.....................  
Status of the #person signing the Declaration  
...................  
[in relation to the importing dealer]  
# Proprietor/Partner/Director/Authorised Person, etc.  

* Strikeout whichever is not applicable.