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The Central Sales Tax (Registration and Turnover) Rules, 1957 Form - C (FORM OF DECLARATION, See Rule 12 (1) )

1) This document is a Form C declaration issued by Sona Meta Chem Pvt Ltd to Shyam Pheno Chem Pvt Ltd for goods purchased in January 2016. 2) It details the purchase of 113,654 rupees worth of residue for manufacturing purposes, with a tax amount of 2,273 rupees, for a total value of 115,927 rupees. 3) The declaration is signed by the managing director of Sona Meta Chem to certify the transaction details are true.

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173 views2 pages

The Central Sales Tax (Registration and Turnover) Rules, 1957 Form - C (FORM OF DECLARATION, See Rule 12 (1) )

1) This document is a Form C declaration issued by Sona Meta Chem Pvt Ltd to Shyam Pheno Chem Pvt Ltd for goods purchased in January 2016. 2) It details the purchase of 113,654 rupees worth of residue for manufacturing purposes, with a tax amount of 2,273 rupees, for a total value of 115,927 rupees. 3) The declaration is signed by the managing director of Sona Meta Chem to certify the transaction details are true.

Uploaded by

Vignesh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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[THIS FORM SHOULD BE IN TRIPLICATE AS * COUNTERFOIL * DUPLICATE * ORIGINAL]

THE CENTRAL SALES TAX

(REGISTRATION AND TURNOVER) RULES, 1957

FORM - C

(FORM OF DECLARATION, See Rule 12(1))

Form Serial No PYC 16 1449124


Name of issuing State U.T. OF PUDUCHERRY

Office of issue OFFICE OF THE CTO - IAC, PUDUCHERRY

Date of issue 13/06/2016

Name and address of the purchasing dealer 34740020329


in full to whom issued along with registration SONA META CHEM PVT LTD
Certificate No R.S. NO 9/13, KARASUR VILLAGE, KADAPERIKUPPAM POST,
PUDUCHERRY-605502

Date from which Registration is valid 01/07/2014

To TIN 36200212844
CST HYR/02/3/2370/99-2000
Name SHYAM PHENO CHEM PVT LTD
Address of seller HYDERABAD

State of seller TELANGANA

Certified that goods ordered for in our


Purchase order no.

Supplied as per Bill / Cash Memo / Chalan Month : January 2016


No. & date Total no of invoices : 1
Value of C-Form : Rs. 115927/-
Purchased from you as per Bill/ Cash Memo
/ Chalan No. (Including Tax value)
For invoice wise details please see Annexure
Supplied under your Chalan No. & dated

For the purpose of

and are covered by my / our registration 34740020329 , Dt.01/07/2014


certificate No / dated 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
TELANGANA in which the goods covered by this Form are/will be delivered.

Name and address of the purchasing dealer SONA META CHEM PVT LTD
in full R.S. NO 9/13, KARASUR VILLAGE, KADAPERIKUPPAM POST,
PUDUCHERRY-605502

The above statements are true to the best of my knowledge


and belief.

Date : Signature

Name of the person signing the declaration D K SHARMAA

Status of person signing declaration in MANAGING DIRECTOR


relation to the dealer

NOTE :- Counterfoil - to be retained by the purchasing dealer; Duplicate - to be retained by the selling dealer.
[ Original to be furnished to the prescribed authority in accordance with the rules framed under sec 13(4)(e) by the
appropriate State Government.]
Genuineness of this form can be verified through the official website http://gst.puducherry.gov.in using
web reference number 1963334 or http://www.tinxsys.com
[THIS FORM SHOULD BE IN TRIPLICATE AS * COUNTERFOIL * DUPLICATE * ORIGINAL]

ANNEXURE Invoice wise Details (FORM - C)

Issued By TIN 34740020329


Name SONA META CHEM PVT LTD
Address R.S. NO 9/13, KARASUR VILLAGE, KADAPERIKUPPAM POST,
PUDUCHERRY-605502

Office of issue OFFICE OF THE CTO - IAC, PUDUCHERRY

Issued To TIN 36200212844


CST HYR/02/3/2370/99-2000
Name SHYAM PHENO CHEM PVT LTD
Address HYDERABAD

Form Serial No & Date PYC 16 1449124, 13/06/2016


Sl. Invoice No Invoice Date Description of Commodity Purpose Value of Tax Value of
No. Goods Goods
excluding including
tax tax
1 222 27/01/2016 RESIDUE Mfg. 113654 2273 115927
Mfg. - Manufacture or Processing of goods for sale; Packing. - Packaging of goods for sale/Resale;
Gen. Pow. - Generation or distribution of electricity or any other form of power; Tele. Com. - Telecommunication network;

The above statements are true to the best of my knowledge


and belief.

Signature
Name of the person signing the declaration : D K SHARMAA
Status of person signing declaration in relation to the dealer :MANAGING DIRECTOR

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