MADHYA PRADESH VALUE ADDED TAX RULES, 2006 - FORMS
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Body

Form 59

[See rule 76(1)]

Application for issue of Transit Pass

(to be submitted in triplicate)

To,

The Check Post Officer,

.............................Check Post.

(1)

Consignor's Details

Name*

Address

State*

TIN

City*

Phone Number

(2)

Consignee's Details

Name*

Address

State*

TIN

City*

Phone Number

(3)

Goods' Details--

S. No.	Place from which goods dispatched	Destination (including District)	Invoice Number	Invoice Date	Description of goods	Quantity/Weight	Value
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)

(4)

Transporter's Details-

Name of transport company or owner of the vehicle*

State and City*

PAN*

Name of the Driver

Bilty/L R Number*

Address of transport company or owner of the vehicle*

Service Tax Registration No.

Vehicle Number*

Driver's Address

Bilty/L R Date*

(5)

To be filled in case of transhipment of goods

City of Transhipment

(6)

Exit check post details*-

Name of exit check post through which consignment will cross Madhya Pradesh border
Approximate date and time before which Consignment will cross exit check post
Name of other State where consignment will go through exit post

(7)

Name of 3 cities likely to be crossed by the vehicle while passing through the State*

Declaration

I ..................... S/o Shri ............................hereby declare that I am the transporter of the vehicle No. ........................ belonging to ......................... (Name and Address of the owner or transporting agency). I have full knowledge of Section 58 of Madhya Pradesh Vat Act, 2002 and Rule 76 of Madhya Pradesh Vat Rules, 2006. The Consignment detailed above is meant for destination in other State. It will not be unloaded/ delivered anywhere in Madhya Pradesh. The consignment will cross Madhya Pradesh at exit Check post mentioned above on or before ............(Date) by ..........hours (Time). The detail given above is true to the best of my knowledge and belief.

Place : ..........	Signature
Time : ..........	Designation and Seal of Applicant.

Transit pass to be issued at entry Check Post

S. No...............

Consignment mentioned above being carried by the above mentioned Vehicle is permitted to cross Madhya Pradesh through exit check post mentioned above on or before ............(date) by ..........(hours).

The duplicate and triplicate copies of Transit Pass have been given to the driver of the vehicle.

Place : ..........
Date and Time : ..........

It is certified that duplicate and triplicate copies of this transit pass have been received.	Signature of the check post officer check post ............Seal
Signature of driver of the vehicle

Certification at Exit Check post

Certified that the vehicle No ..........along with goods mentioned above has gone out of the State of Madhya Pradesh on .........(date).

Note : This declaration form is to be submitted consignee wise.	Officer incharge
	Check post