GST Delivery Challan Format

Origional
XYZ CO.
Company Rajasthan. PIN: 302001 Duplicate
Logo Tel: +91 0141-511721 Triplicate
GSTIN:-27DEPR58895N123 Extra OC

Delivery Challan
Serial no. of Challan: Transport Mode:
Date of Challan: Vehicle number:
Date :
State: Code Place

Detail of Receiver
Name:
Address:

GSTIN:
State: Code

S. No. Description of Goods HSN code UOM Qty Rate Amount

5 5500 27500

Freight
Insurance
Packing and Forwarding Charges

Total 5 5500 27500

Total Invoice amount in words Ceritified that the particulars given above are true and correct

For XYZ & Co

Bank Details
Bank Name:
Bank A/C:
Bank IFSC:
Terms & conditions:-
Authorised signatory
Head Office : 00, Motimahal, Andheri Kurla Road, Mumbai, Maharashtra, 400 001
CIN NO : CIN ZZZZDEDDDDDDDDD
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rigional

uplicate
riplicate
xtra OC

Discount Taxable Value

1500 26000

1500 29000
given above are true and correct

YZ & Co
ed signatory
400 001