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FORM-XXXVIII
Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Original Copy
Form 38 Serial No 1608ES27924600604492 Date of Issue 30/08/2016 Assessment Office Noida Sector-10, DC TIN 09300109097 Name of Dealer Address of Dealer 1. Description of Goods 2. Weight / Measure 3. Quantity 4. Value in Figure 5. Value in Words 6. Bill/ cash memo/ challan/ tax invoice number & date 7. Goods Destination Place 8. Name and Address of seller / consignor 9. TIN of seller / consignor
This e-Sancharan Number is valid upto 31/08/2016
Date(w.e.f) 22/07/2009 M/S Z B INTERNATIONAL D 215 SECTOR 63 NOIDA PAPER 500.00-Kilograms 260-Bundle 39304.00 Rupees Thirty Nine Thousand Three Hundred Four Only (1212,30/08/2016) NOIDA SINGHAL TRADERS 918 GALI INDER WALI KUCHA PATI RAM BAZAR SITA RAM DELHI 110006 07280160368
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller. Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no. 4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.
00/000/0000
Demand No : D1608300529735 (160800717650) Single ( Original)
Printed On : 30/08/2016 09:56:24
http://comtaxup.gov.in/upvatforms/EsancharanFD38/frm38pdf.aspx?value=MTYwOEVT...
8/30/2016
Page 2 of 2
FORM-XXXVIII
Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Second Copy
Form 38 Serial No 1608ES27924600604492 Date of Issue 30/08/2016 Assessment Office Noida Sector-10, DC TIN 09300109097 Name of Dealer Address of Dealer 1. Description of Goods 2. Weight / Measure 3. Quantity 4. Value in Figure 5. Value in Words 6. Bill/ cash memo/ challan/ tax invoice number & date 7. Goods Destination Place 8. Name and Address of seller / consignor 9. TIN of seller / consignor
This e-Sancharan Number is valid upto 31/08/2016
Date(w.e.f) 22/07/2009 M/S Z B INTERNATIONAL D 215 SECTOR 63 NOIDA PAPER 500.00-Kilograms 260-Bundle 39304.00 Rupees Thirty Nine Thousand Three Hundred Four Only (1212,30/08/2016) NOIDA SINGHAL TRADERS 918 GALI INDER WALI KUCHA PATI RAM BAZAR SITA RAM DELHI 110006 07280160368
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller. Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no. 4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.
00/000/0000
Demand No : D1608300529735 (160800717650) Single ( Second)
Printed On : 30/08/2016 09:56:24
http://comtaxup.gov.in/upvatforms/EsancharanFD38/frm38pdf.aspx?value=MTYwOEVT...
8/30/2016
FORM-XXXVIII
Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Original Copy
Form 38 Serial No 1608ES27924600604492 Date of Issue 30/08/2016 Assessment Office Noida Sector-10, DC TIN 09300109097 Name of Dealer Address of Dealer 1. Description of Goods 2. Weight / Measure 3. Quantity 4. Value in Figure 5. Value in Words 6. Bill/ cash memo/ challan/ tax invoice number & date 7. Goods Destination Place 8. Name and Address of seller / consignor 9. TIN of seller / consignor
This e-Sancharan Number is valid upto 31/08/2016
Date(w.e.f) 22/07/2009 M/S Z B INTERNATIONAL D 215 SECTOR 63 NOIDA PAPER 500.00-Kilograms 260-Bundle 39304.00 Rupees Thirty Nine Thousand Three Hundred Four Only (1212,30/08/2016) NOIDA SINGHAL TRADERS 918 GALI INDER WALI KUCHA PATI RAM BAZAR SITA RAM DELHI 110006 07280160368
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller. Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no. 4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.
00/000/0000
Demand No : D1608300529735 (160800717650) Single ( Original)
Printed On : 30/08/2016 09:56:24
http://comtaxup.gov.in/upvatforms/EsancharanFD38/frm38pdf.aspx?value=MTYwOEVT...
8/30/2016
Page 2 of 2
FORM-XXXVIII
Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Second Copy
Form 38 Serial No 1608ES27924600604492 Date of Issue 30/08/2016 Assessment Office Noida Sector-10, DC TIN 09300109097 Name of Dealer Address of Dealer 1. Description of Goods 2. Weight / Measure 3. Quantity 4. Value in Figure 5. Value in Words 6. Bill/ cash memo/ challan/ tax invoice number & date 7. Goods Destination Place 8. Name and Address of seller / consignor 9. TIN of seller / consignor
This e-Sancharan Number is valid upto 31/08/2016
Date(w.e.f) 22/07/2009 M/S Z B INTERNATIONAL D 215 SECTOR 63 NOIDA PAPER 500.00-Kilograms 260-Bundle 39304.00 Rupees Thirty Nine Thousand Three Hundred Four Only (1212,30/08/2016) NOIDA SINGHAL TRADERS 918 GALI INDER WALI KUCHA PATI RAM BAZAR SITA RAM DELHI 110006 07280160368
I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller. Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no. 4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.
00/000/0000
Demand No : D1608300529735 (160800717650) Single ( Second)
Printed On : 30/08/2016 09:56:24
http://comtaxup.gov.in/upvatforms/EsancharanFD38/frm38pdf.aspx?value=MTYwOEVT...
8/30/2016
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