GWRL Q1 2015-16 Digital

THE CENTRAL SALES TAX
(Registration and Turnover) Rules, 1957
FORM 'C'
FORM OF DECLARATION[See rule 12(1)]
Serial No. : 27081612937905
Name of Issuing State : MAHARASHTRA
Seal of Issuing Authority : MSTD MUMBAI
Office of Issue :PUN-VAT-E-612 , Pune
Date of Issue :08-Aug-2016
This form of declaration is valid only for the following :
Period
01-Apr-2015 To 30-Jun-2015
Total Invoices
#2# TWO
Total Value
#1938000#. Rs NINETEEN LAKHS THIRTY EIGHT THOUSAND only.
Name of the purchasing dealer to GARWARE WALL ROPES LIMITED
whom issued
Registration Certificate No.
27290000322C
Date from which registration is valid 01-Apr-2006
Address PLOT NO 11 BLOCK D-1
M.I.D.C. CHINCHWAD
PUNE ,
PUNE
MAHARASHTRA , 411019
To
Name of the seller
TECHNO FABRICS
Registration Certificate No. 24722102155
Address (with state)
Gujarat
Certified that the goods ordered for in our purchase order No……………… dated ………………… and purchased from
you/supplied as per your Bill/cash memo/challan no ............. dated .......... as stated below are for resale/use in manufactureprocessing
of goods for sale/use in mining/use in generation-distribution of power/packing of goods for sale-resale/use in the
telecommunication network and are covered by my/our registration certificate issued under the Central Sales Tax Act, 1956.
It is further certified that I/we am/are not registered under Section 7 of the said Act in the state of .................. in which the
goods covered by this form will be delivered.
The above statements are true to the best of my knowledge and belief
Name and Signature of the person signing the declaration : ..............................................
Status of the person signing the declaration in relation to the dealer : ..............................................
Place and Date : ..............................................
Particulars of bill/cash memo/challan : As per Annexure
Form Serial NO.: 27081612937905

Annexure : Transaction Details in relation to Form C
Form Serial No. : 27081612937905
Office of Issue :PUN-VAT-E-612 , Pune
Name of the purchasing dealer to whom issued : GARWARE WALL ROPES LIMITED
Registration of purchasing dealer to whom issued : 27290000322C
To
a) Name of the seller : TECHNO FABRICS
b) Name of the state : Gujarat
c) TIN of the seller : 24722102155
Sr. No. Invoice No. Invoice Date Value of Goods Tax Total Commodity
(DD-MMM-
YYYY)
1 CT/006 06-May-2015 1250000 25000 1275000 WOVEN
FABRICS TF 42
2 CT/010 01-Jun-2015 650000 13000 663000 PP WOVEN
FABRIC TF 42
Total 1900000 38000 1938000
The above statements are true to the best of my knowledge and belief.
Name and Signature of the person signing the declaration .....................................
Status of the person signing the declaration in relation to the .....................................
dealer
Place and Date .....................................
Form Serial NO.: 27081612937905