Page 1 of 33 BRANCH SALES OFFICE – KANPUR 16 ... - Vizag Steel

Annexure-IINAME AND ADDRESS OF REGISTERED PERSON ISSUING THE INVOICEORIGINAL FOR CUSTOMERM/S………………..INCOME TAX REGD.NO./PAN/GIR NO. NAME AND ADDRESS OF THE REGD.OFFICE :(CONSIGNMENT SALES AGENT OF TIN REGN.NO.RASHTRIYA ISPAT NIGAM LIMITED)RASHTRIYA ISPAT NIGAM LTD.FULL ADDRESS :VISAKHAPATNAM STEEL PLANTTELEPHONE: C.E.REGN NO.: ADMINISTRATIVE BLDG.STOCK YARD RANGE ADDRESS : VISAKHAPATNAM-530 031 (A.P) INDIAFULL ADDRESS : DIVISION ADDRESS : TIN REGN NOTELEPHONE :CST REGN NOPRE AUTHENTICATED BY :DELIVERY CHALLAN-CUM-INVOICECUSTOMER DETAILS : CE RANGE: : DC CUM INVOICE NO & DATE:CUSTOMER CODE : : DIVISION : : TIME OF ISSUE :: COMMISSIONERATE : : OL NO & DATE :CUSTOMER NAME M/s : : DO NO. & DATE :& ADDRESS : : MR NO & DATE & AMOUNT :: CST NO : : CUSTOMER PO NO & DATE :TELEPHONE NO.: : TIN/TOT REGN NO : TC NO. & DATE :: IT PAN/GIR NO: : NAME OF TRANSPORTATION/WAGON NO/TRUCK NO.:EXCISE CONTROL CODE: : DATE & TIME OF REMOVAL OF GOODS :NAME & ADDRESS OF CONSIGNEE: : CE RANGE : : CST NO :(IF HE IS NOT BUYER) : DIVISION : : TIN/TOT REGN NO :: COMMISSIONARATE : IT PAN/GIR NO :EXCISE CONTROL CODE: : REGN NUMBER : :ED RATE : PRODUCT CODE PRODUCT DESC QTY. RATE DISC. VALUE (RS.)AMOUNT OF DUTY PER UNIT :AMOUNT OF DUTY (IN FIGURES) :AMOUNT OF DUTY (IN WORDS) :AMOUNT OF EDN CESS :AMOUNT OF SHE CESS :________________________________________TOTAL INVOICE VALUE (IN FUGURES) : CUTTING CHARGES__________________________________________BENDING CHARGESTOTAL INVOICE VALUE (IN WORDS) : OCTROI CHARGES: OTHER CHARGES: CST/APVAT RATE: CST/ APVAT AMOUNT: -------------------RS.WEIGHMENT CARD : CUT QTY: : ENTRY AND PAGE NO. IN RG 23 D:TARE WEIGHT : BEND QTY: : PLA DEBIT ENTRY NO. & DATE :GROSS WEIGHT: ___________________________________________________________________________________________________NET WEIGHT : CE TARIFF ITEM/SUB ITEM NO :BAY/LOT NO: ___________________________________________________________________________________________________NO OF PIECES: IDENTIFICATION MARKS & NO.MANUFACTURE /SUPPLIER’S NAME & ADDRESS : DESCRIPTION OF MATERIAL QTY: _______________________________________________________________________: ASSESABLE VALUE OF MATERIAL, RS. RUPEES: _______________________________________________________________________: RATE OF DUTY PAID (RS. WORDS & FIGURES): AMOUNT OF DUTY PAID: AMOUNT OF EDN CESS PAID :: AMOUNT OF SHE CESS PAID :INVOICE NO DATE OF ISSUE ED TARIFF CLASSIFICATIONTIME OF ISSUERECEIVED THE MATERIAL IN GOOD CONDITION AND UP TO SATISFACTIONDELIVERED THE MATERIAL AS SPECIFIED ABOVEAUTHORISED SIGNATURE OF CUSTOMERFOR M/S …………………………………………………..(CONSIGNMENT SALES AGENT FO RINL/VSP)Page 31 of 33