Beruflich Dokumente
Kultur Dokumente
FORM No. 15
FORM OF DELIVERY NOTE
[See Rule 22(3) and 58(16))
(To be maintained in triplicate marked original, duplicate, triplicate and serially
machine numbered)
VAT OFFICE
ADDRESS
SEAL
d d
m m
y y y
9.
Commodity
Invoice No./Date
Quantity
Value of Goods
11. Name and address of the owner of the goods vehicle or vessel by which the goods are
consigned
Name
Address
Vehicle/Vessel Number
I/We certify that to the best of my / our knowledge the particulars furnished herein are true,
correct, complete and that nothing has been concealed therein.
Name, address , signature and Driving license
of the driver of the vehicle
Seal of dealer
Note:- 1.
Original to be furnished to the Assessing Authority
concerned. Duplicate to be retained by the purchasing dealer or the person to
whom goods were delivered for transporting. triplicate to be retained by the
consigning dealer.
2. The entries in the duplicate and triplicate shall be carbon copies of the entries
in the original. In the case of delivery notes issued in respect of goods intended
to be transferred to a place outside the State of Kerala, entries should be made
in English. In any other case of transport such entries may be made either in
English or in the language of the State namely, Malayalam, Tamil or Kannda,
as the case may be.
3. Where the particulars of goods transported cannot be fully included under
column 10 the dealer shall use separate sheet which shall be the delivery
chalan referred to in Rule 58 (18)(A).
4. Any corrections or alterations made in the form should be duly attested by the
person signing the form.