Form No:

IRJ1903381700EB93

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB93

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB94

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB94

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB95

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB95

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB96

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB96

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB97

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB97

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB98

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB98

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te

Form No:

IRJ1903381700EB99

Government of Madhya Pradesh

Signature Not Verified

Commercial Tax Department

IN
Details of the dealer whom issued Name Address Door No./Shop No. Village District Phone No The Consignor Name Ludhiana of the other state:

Digitally signed by SALVI RAKESH KUMAR Date: 2013.03.19 14:14:01 IST

Bhopal Circle-4

Form 49
[See rule 70(3)] DECLARATION
Date/Time of Issue: Valid Upto: 19 March 2013 2:14 PM 17 April 2013

M/S VISHAL GARMENTS GUJRATI SCHOOL MARWARI ROAD BHOPAL

TIN Street/Complex Town City Ward No

23253902817

Address Ludhiana

State

Punjab

Place from which the goods dispatched: Place Ludhiana

Carrier (transport company or owner of the vehicle etc): Name

Address

Bilty/LR No.

I, ____________________declare that to the best of my knowledge and belief the above statements are true and correct. Place: Date:

To be completed in the office of the checkpost:

Iss

Date and time of arrival of the vehicle at the check post:

Date and time of departure of the vehicle from the check post:

Seal

Va

Reasons for abnormal detention of the vehicle at the check post:

Date Designation Signature

Please take the print of overleaf details of this form on the backside of main page. PLEASE DO NOT TAKE THE PRINT OF OVERLEAF DETAILS ON SEPARATE SHEET.

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Mobile No Vehicle Number Bilty/LR Date

ue

Da te

Seal and signature of the consignor of the goods

Form No:

IRJ1903381700EB99

IN
Overleaf details of form 49: Sr. No Consignor's Consignor's Destination Invoice No Invoice Date Place(including complete Brief description Other goods of goods Total Quantity/Total weight Units Other Unit Total Value

Iss
Place: Date:

Va

lid

:1 up 2: 9to 14 MA :1 P R 7- M -20 AP 1 3 R20 13

Seal and signature of the consignor of the goods

ue

Da te