Material Status In to Out Out to In

Name
TIN
Consignee Name
Consignee Address
Consignee TIN
CST R.C. No
Consignor Name
Consignor Address
Consignor TIN
Place of dispatch of goods
State of dispatch of goods
Date of dispatch of goods (Actual / Expected)
Name of contact person & Mobile number
Name of Entry / Exit check post of ORRISA Sukinda Road
Item Description JSPL PO / WO. No Date Quantity Units
Remarks If any:
Vehicle Registration Number
LR / RR/ Courier Receipt Number
Owner of Vehicle
Driver's Name
Vehicle Type (Text)
Name of the Transporter
Address of the Transporter
Note: > Please fill-up yellow marked fields only.
Proper utilization and documentation of Way Bill at Check Gate is the sole
responsiblity of the supplier / vendor.
On-line Way Bill issued by JSPL will be a final docment and no subsequent
changes or cancellation requests from Supplier / Customer will be accepted.
For un-utiliized status of Way Bill in the Govt. Portal, No Sale Tax declaration
forms like , Form-C, D, E1,E2, F, H will be generated from the system and JSPL
will not be holding any responsibility on this account. If any Tax leviable due to
this reason will be born by Suppliers / Customers.
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21-Sep-14
Consignor of Goods:
Consignee of goods:
21172000530
Dealer of Orissa to whom way bill is Assigned:
21172000530
M/s Jindal Steel & Power Limited
21172000530
M/s Jindal Steel & Power Limited
Angul, Orissa, 759 130,
For submission of wrong information in the request form, the concequential
liability of payment of Entry Tax, Sales Tax & Penalty if imposed by the Sales
Tax Authorities at Check Gate or Range Officers will be born by the
Requisitioner (respective Supplier / Customer only).
In absence of duly filled-in request form alongwith SCANNED copy of Invoice /
Bill / Challan, no Way Bill will be issued.
Values in ` (Total Invoice Value)
Truck/ Trailer (Long Vehicle)/ Container / In-built
Crane etc.
Vehicle Carrier:
Invoice /Challan No
Invoice / Challan Details
Select from the Drop down.