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FORM - JJ Original Duplicate Triplicate Quadruplicate DELIVERY NOTE See rules 51 1 and 59 3 a and d for sales / stock transfer / works contract / labour TIN Asst. Period 1. a Name and address of the consignor c CST Registration No* branch / agent b TIN if any. 3. Address i from which goods are consigned* ii to which goods are consigned Description of goods consigned a Name of the goods. b Quantity or weight c Value of the goods Purpose of transport a for sale / purchase b for shipment c transfer to branch / head office/Consignment agent d for execution of works contract e for labour work / processing 6. To whom delivered for transport and vehicle no. if any. 7. Remarks if any. I/We. S/o. certify that to the best of my/our knowledge the particulars are true correct and complete. Name and signature of the person to whom the goods were delivered for transporting with status of person signing. Place Date /his employee / his representative Note 1 Original to be furnished to the officer in-charge of the first check post or barrier the second copy to such officer in the last check post or barrier and the third copy shall be retained by the owner or other person in-charge of the goods vehicle or boat. 2 The entries in this form should be made in ink or by copying pencil using double side carbon paper. In the case of delivery notes issued in respect of goods intended to be transferred to a place outside the Union Territory of Puducherry entries should be made in English. 3 Any corrections made in the form should be duly attested by the person signing the form* 4 The original duplicate triplicate and quadruplicate copies are to be printed in white blue red and yellow colours respectively for easy identification*. Period 1. a Name and address of the consignor c CST Registration No* branch / agent b TIN if any. 3. Address i from which goods are consigned* ii to which goods are consigned Description of goods consigned a Name of the goods. 3. Address i from which goods are consigned* ii to which goods are consigned Description of goods consigned a Name of the goods. b Quantity or weight c Value of the goods Purpose of transport a for sale / purchase b for shipment c transfer to branch / head office/Consignment agent d for execution of works contract e for labour work / processing 6. b Quantity or weight c Value of the goods Purpose of transport a for sale / purchase b for shipment c transfer to branch / head office/Consignment agent d for execution of works contract e for labour work / processing 6. To whom delivered for transport and vehicle no. if any. 7. Remarks if any. I/We. S/o. certify that to the best of my/our knowledge the particulars are true correct and complete. To whom delivered for transport and vehicle no. if any. 7. Remarks if any. I/We. S/o. certify that to the best of my/our knowledge the particulars are true correct and complete. Name and signature of the person to whom the goods were delivered for transporting with status of person signing. .

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