E47A040515512714

OriginalForm VAT - 47A [See rule 53(1)]

DECLARATION FOR IMPORTS BY REGISTERED DEALER

Form No. : E47A040515512714

Date of Issue : 04/MAY/2015 09:20:01 PM

Declared and Certified that the goods,particulars of which are given below, have been imported by me / us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for payment of tax as per law to the Government.

(1) Name of Consignee : NAVIN MARKETING(2) Registration No.(TIN) : 08131900711

(3) Details of import

Name ofConsignor

RegistrationNo. (TIN)

Invoice / Bill / Dispatch Memo GR.(Bilty)No. Date Value /

EstimatedValue(in Rs.)

Name ofCommodity

No. Date

1 2 3 4 5 6 7 8VIPUL

INDUSTRIES06771610847 5 04/MAY/2015 717550 UTENSILS 610 04/MAY/2015

(4) Registration No. of Vehicle : HR58A-7158

E47A040515512714

DuplicateForm VAT - 47A [See rule 53(1)]

DECLARATION FOR IMPORTS BY REGISTERED DEALER

Form No. : E47A040515512714

Date of Issue : 04/MAY/2015 09:20:01 PM

Declared and Certified that the goods,particulars of which are given below, have been imported by me / us from outside the State for purposes mentioned in rule 53, and hold myself / ourselves liable for payment of tax as per law to the Government.

(1) Name of Consignee : NAVIN MARKETING(2) Registration No.(TIN) : 08131900711

(3) Details of import

Name ofConsignor

RegistrationNo. (TIN)

Invoice / Bill / Dispatch Memo GR.(Bilty)No. Date Value /

EstimatedValue(in Rs.)

Name ofCommodity

No. Date

1 2 3 4 5 6 7 8VIPUL

INDUSTRIES06771610847 5 04/MAY/2015 717550 UTENSILS 610 04/MAY/2015

(4) Registration No. of Vehicle : HR58A-7158