FORM 403

(See Sub-Rule (1) of Rule 51) (For Goods entering in to state from outside the state) The Officer in Charge _________________________ Sr. No. (1) Place from which Goods are Dispatced : Mumbai Dist: Mumbai (2) Place to which Goods are Dispatced : Rajkot Dist: Mumbai (3) Details of Goods Invoice No : 0001 Date: 1-Jan-12 (4) Consignor's Details Name & Adress: HIREN ABC Enterprise ALUMINIUM LTD. Bhuvneshwari Mumbai Telephone 022 - 00000 Fax No. 022 - 00000 (5) Nature of Transaction i) Inter State sale ii) Depot Transfer v) For Job Work/Works Contract (6) Consignee's Details Name & Adress Fax No. Consigned Value Rs. 111111.00 Sr No. Discription Of Goods 1 Oil engine XYZ Ltd. Star Plaza, Rajkot State : Maharashtra State VAT No. :TIN -11111111 Date 5/1/2005 CST No.: Date : 111111 01/05/2005

ii) R.R. Endorsment iv) Consignment to Branch/Agent

State VAT TIN : 2400001234 Date CST NO: 2450001234 Date Commodity Code Unit Qty. Rate of Tax Value 111111.00

1500 Kgs

(7) Transporter Details : a) Name JJ Transport Company Mumbai c) Owner/Partner's Name : d) Signature 8) Vehicle No. : PLACE : DATE : MUMBAI

b) Address

(9) Drivers Details : a) Name c) Driving Licence No. :d) Licence issuing state :e) Signature

b) Address

MH 02 1111

L.R. No. SEAL

DATE : Signature : Designation :

1-Jan-12

1-Jan-12

Entry No. Vehicle Arrival Depart Date :

Date

FOR SALES TAX DEPARTMENT / CHECK POST Time Reason of abnormal stoppage

Result if any

Sinature

Designation

Guidance: 1 2 3 4

Form no 403 is to be given in advance from whom we are purchasing goods (from outside Gujarat state) Form No. 403is to be given in triplicate. Form No. 403 is to be signed and stamp by gujarat dealer and then send it to outside state for the other dealers signature and stamp Form No. 403 is must accompnying with the bill where the goods coming to gujarat.