Download - Way Bill Generate
THE WEST BENGAL VALUE ADDED TAX RULES, 2005
FORM 50AWay bill for transport of consignment of goods despatched from Outside West Bengal to any place inside West Bengal
[See rule 110B read with rule 100A,rule 103A and rule 104A]
Original/Duplicate
17/01/2013 5.32 PMPrinted On:
Waybill Key No.
Office of issue
Valid upto
1.Name and Address of the Dealer/Person Importing the goods
a)VAT RC No
b)CST RC No
c)Trade Name
d)Address of principal place of Business
e)PIN
f)PAN
2.Name and Address of the Dealer/Person from whom the goods are purchased/imported
a)VAT RC No
b)CST RC No
c)Trade Name
d)Address of principal place of Business
e)PIN
g)State of India/Union Territory of India/Countryother than India
5.Name and Address of the Transporter/Owner of the vehicle by which the goods are transported
a)Name
b)Address
6.Detail of Consignment Note/Railway Receipt/AirwayBill/Bill of Landing/ Bill of Entry or similar document
7.Total No. of Invoices/tax invoices/cash memos/bills/challans/forwarding notes(details as per Annexure to
Declaration-*I/We declare that the information furnished as above are correct to the best of my/our knowledge and belief.
Date of generation of the Waybill in form 50A
f)PAN
3.Mode of transport of goods in West Bengal
4.Registration Certificate No. of the Vehicle
c)Enrolment No. under the WB VAT Act 2003(if any)
No. Date
8.Total Value of Goods(details as per Annexure to 50 A)
9.Possible Entry location in W.B
192013014236030
Directorate of Commercial Taxes,West Bengal
17/01/2013 5.04 PM
17/02/2013
19601130083
19601130277
PIONEER INDUSTRIAL CORPORATION
, 140A,S P MUKHERJEE R, OAD,CALCUTTA
District-KOLKATA
ADAPA2258D
SAUDI BASIC INDUSTRIES CORPORATION
P.B.BOX 5101
RIYADH-11422
SAUDI ARABIA000000
FOREIGN COUNTRY
3099396.69
N S DOCK
Sea
Note a) Name of the District, if transport by roadb)Name of the railway station/port/airport,if transport by rail/sea/air
R83647158 25/12/2012
Waybill Serial No.T1920130535406220
700026
1
Name of the person signing the Waybill
Status of the person signing the Waybill [in relation to the importing dealer].
Signature
#Proprietor/Partner/Director/Authorised Person, etc1 of 2
THE WEST BENGAL VALUE ADDED TAX RULES, 2005
ANNEXURE TO WAYBILL IN FORM 50ADetails of Invoices / Tax Invoices / Cash Memos / Bills / Challans / Forwarding Notes and of goods in relationto Sl. No. 7 and Sl. No. 8 of Waybill in Form 50A
17/01/2013 5.32 PMOriginal/Duplicate
Printed On:
Valid upto
Date of generation of the waybill in Form
Office of issue
Waybill Key No.
Waybill Serial No
Directorate of Commercial Taxes, West Bengal
17/01/2013 5.04 PM
17/02/2013
192013014236030
Details of Invoice/tax invoice/cash memo/bill/challan/forwarding note etc. and description,quantity
and value of goods
T1920130535406220
Invoice/bill/challan/forwarding note etc. Name
Invoice Date
Quantity
Value ofGoodsUnit
Commodity
Nos of Packages
100553771 20/12/2012 33.00 3099396.69METRIC TON
1320 BAGSPLASTIC GRANULE,PLASTIC POWDER.
Declaration-*I/We declare that the information furnished as above are correct to the best of my/our knowledge andbelief
SignatureName of the person signing the declaration
Status of the person signing the declaration
[In relation to the importing dealer]
2 of 2