FORM-XXXVIII Department of Commercial Taxes, Government of Uttar Pradesh

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http://www.comtaxup.gov.in/UPVATFORMS/EsancharanFD38/frm38pd...

FORM-XXXVIII

Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Original Copy

Form 38 Serial No

1702ES97929800133682

Date of Issue

07/02/2017

Assessment Office

Baghpat , DC

TIN

09378100481

This e-Sancharan Number is valid upto 08/02/2017

Date(w.e.f)

Name of Dealer

M/S WEAVETEX OVERSEAS

Address of Dealer

PATHSHALA ROAD,KHEKRA

1. Description of Goods

PACKING MATERIAL

2. Weight / Measure

40.00-Kilograms

3. Quantity

1-Bag

4. Value in Figure

5800.00

11/01/1994

5. Value in Words

Rupees Five Thousand Eight Hundred Only

6. Bill/ cash memo/ challan/ tax invoice number & date

(331,07/02/2017)

7. Goods Destination Place

KHEKRA

8. Name and Address of seller / consignor

AAWEZ KHAN DELHI

9. TIN of seller / consignor

00000000000

I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller.

Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no.

DL1LS2795

4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.

Demand No : D1702100135541 (170200193385)

Single ( Original )

Printed On : 07/02/2017 12:32:27

2/7/2017 12:30 PM

2 of 2

http://www.comtaxup.gov.in/UPVATFORMS/EsancharanFD38/frm38pd...

Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 of the UPVAT Rules, 2008] Form of Declaration for import Second Copy

Form 38 Serial No

1702ES97929800133682

Date of Issue

07/02/2017

Assessment Office

Baghpat , DC

TIN

09378100481

This e-Sancharan Number is valid upto 08/02/2017

Date(w.e.f)

Name of Dealer

M/S WEAVETEX OVERSEAS

Address of Dealer

PATHSHALA ROAD,KHEKRA

1. Description of Goods

PACKING MATERIAL

2. Weight / Measure

40.00-Kilograms

3. Quantity

1-Bag

4. Value in Figure

5800.00

11/01/1994

5. Value in Words

Rupees Five Thousand Eight Hundred Only

6. Bill/ cash memo/ challan/ tax invoice number & date

(331,07/02/2017)

7. Goods Destination Place

KHEKRA

8. Name and Address of seller / consignor

AAWEZ KHAN DELHI

9. TIN of seller / consignor

00000000000

I, -------------------------------------------------------------, the authorized signatory of the above named dealer;do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. This Vishishta Sancharan Number/Form XXXVIII is online generated and as such does not require any signature of importer/seller.

Signature of authorized signatory 1. Name & address of the Transporter / carrier etc. 2. Service Provider no. of the carrier, if any 3. Carrier/ Truck no.

DL1LS2795

4. Name & address of Driver 5. Driving License No. 6. Signature of the vehicle driver.

Demand No : D1702100135541 (170200193385)

Single ( Second )

Printed On : 07/02/2017 12:32:27

2/7/2017 12:30 PM