Form JVAT 502

GOVERNMENT OF JHARKHAND
COMMERCIAL TAXES DEPARTMENT
Application for obtaining Declaration for Transport of certain goods and Permit thereof, under the Jharkhand VAT Rules, 06
[See Rule 42(1)(a) & 42(1)(c)]
To,
The of Commercial Taxes.
In accordance with the provisions of Rules 41(2) of the Jharkhand VAT Rules 06, I/we hereby
(a)
declare that the following consignment of is being moved by me/us on my/our behalf from a place
notified under section 69 of the Jharkhand VAT Rules 06 to by road / river craft/coolie.
(b)
Apply for a permit to transport the following consignment of from to by road/river
craft/coolie.
(c)
Declare that the following consignment of is proposed to be transported across the State of
Jharkhand by me/us on my/our behalf by road/river craft.
1.
Name and address of the dealer from whom purchased

2.
Name and address of the consigner
3.
Name and address of the consignee
4.
Place of dispatch
5.
Destination of consignment
6.
Description of consignment
7.
Quantity
8.
Value
9.
Consignor's Invoices no. and date
10.
Mode of transport
11.
Railway Receipt or Bill of loading on Air/Note no.

12.
In case of transport by road
i.
Name and full address of the carrier
(Transport Company, owner of the vehicle, etc.)
ii.
Details of the vehicle with its registration mark
and number.
iii.
Name and address of the driver of the vehicle.
iv.
Name and address of the person, if any, incharge of the goods.
13.
Remarks (if any)
I am/We are registered under the Jharkhand VAT Act 05, and possess Registration Certificate TIN No. The
foregoing statements and particulars are correct and complete to the best of my/our knowledge and belief. I/We also undertake to
duly account to you for the disposal of the above goods, on completion of the movement and to pay tax on the sales thereof
according to the provisions of the said Act and the rules made thereunder.
I/We declare that the foregoing statements and particulars are correct and complete to the best of my/our knowledge and
belief. I/We undertake to surrender one copy of this declaration to the authority or officer to whom I/we have been directed to
surrender it.
Signature of the applicant
Status in relation to the dealer
Address
Name and style of the business for which
application is made
Location of the place of business
Note: - (1) A separate application should be made for each different consignment and for different destination.
(2) In case of transport by road or river a copy of the permit should accompany the goods for production on demand,
except when transported by a public steamer company.
(3) (a) The declaration/application by a registered dealer, shall be signed by the proprietor of the business, if an individual
by the Karta, if an undivided Hindu family, by an authorized partner, in case of a firm, by a managing director, managing agent or
principal executive officer, in the case of a company or corporation; by the principal executive officer or officer-in-charge in the
case of a society, club, association, department of Government or local authority; or by the manager declared under section 15 or
by any one of these.
_____________________________________
Strike out whichever is not applicable.
Entries in item 12 should be made before commencement of actual dispatch of the notified goods

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