Delivery Challan

Delivery Challan No.: Original/ Duplicate/ Triplicate

Delivery Date: Consignee : -

SHIP FROM (Consigner):-

GSTIN:
PAN:

GSTIN: STATE :
PAN:
STATE CODE:-

SR. NO. DESCRIPTION OF GOODS HSN QTY RATE

CODE
1
(Sent for Job Work Purpose Only)

TAXABLE VALUE OF GOODS

SR. NO. APPLICABLE TAX RATE OF TAX Rs.

1 IGST 0.25%
TOTAL AMOUNT OF TAX Rs.

Declaration:-
(1)
Goods transferred to GOPAL GEMS (Surat Branch) only for job-work purpose, without payment of IGST, in accordance with
provisions of section 143 of the Central Goods and Services Tax Act, 2017

(2) GOPAL GEMS (Surat Branch) shall not sell the cut and polished diamonds manufactured from these rough diamonds

(3) GOPAL GEMS (Surat Branch) shall not resell these rough diamonds / rough rejection diamonds

(4)
GOPAL GEMS (Surat Branch) shall return to GOPAL GEMS (HO-Mumbai), the cut and polished diamonds / semi-
processed diamonds / rough rejection diamonds manufactured from these rough diamonds within 12 months from
date of this delivery challan

(5)
IGST computed above will be payable in the event of failure to return back cut and polished diamonds / rejection diamonds after
cutting / polishing / or any other processing, within time limit specified in (4) above

For M/s. GOPAL GEMS For M/s. GOPAL GEMS (Surat Branch)
 (Consigner) (Consignee)

Authorised Signatory Authorised Signatory

ginal/ Duplicate/ Triplicate

AMOUNT IN Rs.

AMOUNT

thout payment of IGST, in accordance with

actured from these rough diamonds

ction diamonds

i), the cut and polished diamonds / semi-

e rough diamonds within 12 months from

d polished diamonds / rejection diamonds after

e

. GOPAL GEMS (Surat Branch)

horised Signatory