FORM 405
(See sub-rule (2) of rule 52)
ORIGINAL
DUPLICATE
TRIPLICATE
TRANSIT PASS ISSUED UNDER SECTION 69 (1) OF THE
GUJARAT VALUE ADDED TAX ACT, 2003.
Serial No.________________
Vehicle / Truck No.______________________________carrying the consignment
mentioned in the Annexure annexed hereto is permitted to cross the Gujarat State and
enter into ___________________________ (name of other State). Boarder at
________________ Check Post/ Barrier by_______________hour___________on or
before_________________ (date) via(National Highway/State Highway/District
Road______________________(mention details of route)
Place :
Date :
Time :
(A.M. / P.M.)
__________________________________
Signature of the Officer
In-charge of Entry Check-Post/Barrier
(Full Name, Designation with Seal)
Extension of time
Time extended up to hours_____________in or before__________Date____________
Place :
Date :
Time :
(A.M. / P.M.)
__________________________________
Signature of the Officer
In-charge of Entry Check-Post/Barrier
(Full Name, Designation with Seal)
Certified that I have received the duplicate copy of transit pass.
Place :
Date :
Time :
(A.M. / P.M.)
__________________________________
Signature of the Officer
In-charge of Entry Check-Post/Barrier
(Full Name, Designation with Seal)
ANNEXURE
Sr.
No
G.C.
Note No.
1
1
2
3
2
Name and
full Address
of
Consignee
3
Name and Full
Address of
Consignor
Description of
Goods
Quantity
Value of
Goods
Rs.
4
5
6
7