FORM 402 (See rule 51)

Declaration under section 68 of the Gujrat Value Added Tax Act,2003

(For movement of goods within the State or goods moving outside the State)
To, Original
The Officer in charge Duplicate
Check post ……….. Triplicate
(1) Place from which goods are dispatched District
(2) Place to which goods are dispatched District
(3) Details of goods invoce No. Date
(4) Consignor's details :
Name State
Registration Certificate No.
Address Date
Telephone CST Registration No.
Fax No. Dtae
(5) Natuire of Transaction :
Ѵ : 1 Inter State Sate : 2 Transfer of documents of titel
: 3 Depot Transfer : 4 Consignment to Branch/Agent
: 5 For Job Works/Works contract
: 6 For Export : 7 Any Other
(6) Consignee's details :
Name State
Registration Certificate No.
Address Date
Telephone CST Registration No.
Fax No. Dtae
Consigned Valu Rs.
Commodity
sr.No. Description of Goods Unit Quantity Rate of Tax Value
Code
1
2
3
4
(7) Transport's Details : (a) Name
(b) Address

( c ) Owner/Partner's Name
(8) Vehicle No. L.R. No. Date
(9) Driver's Details
(a) Name
(b) Driving License No.
(d) License issing State
(e) Driver's Signature
(10) Name of the Address of person in charge of goods
Seal
Place : Signature
Date : Designation
For Commercial Tax Department/Check Post
Entry No. Date Time Reason of abnormal Result if any
Date Signature Designation