MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

FORM- 5 C Omitted w.e.f. 01-11-2012

(See rule 9-B)

Goods Receipt under clause (f) of sub-section (1) of section 9-C of the Madhya Pradesh Vat Act. 2002.

Book No .................... S.No. ................................ Date of issue .........................

1	Name and address of the Transporter
2	Registration Certificate No. under the Madhya Pradesh Vat Act, 2002
3	Registration No. of the vehicle
4	Name and complete address of the consignor and TIN
5	Name and complete address of the consignee and TIN
6	Place from which the goods dispatched.
7	Consignor's invoice No. and date
8	Destination (including complete address)
9	Brief description of goods
10	Total quantity or total weight
11	Total value
12	(i) Freight charged
	(ii) Tax u/s 9-C
	Total

Signature of Consignor	Signature of Transporter
Date...................	Date.................