FORM GST EWB – 03
(See rule138C)
Verification Report
PART – A
| Name of the Officer | |
| Place of inspection | |
| Time of inspection | |
| Vehicle Number | |
| E-Way Bill Number | |
| Tax Invoice or Bill of Supply or Delivery Challan or Bill of Entry date | |
| Tax Invoice or Bill of Supply or Delivery Challan or Bill of Entry Number | |
| Name of person in-charge of vehicle | |
| Description of goods | |
| Declared quantity of goods | |
| Declared value of goods | |
| Brief description of the discrepancy | |
| Whether goods were detained? | |
| If not, date and time of release of vehicle |
PART- B
| Actual quantity of goods | |
| Actual value of the Goods | |
| Tax payable | |
| Integrated tax | |
| Central tax | |
| State or Union territory tax | |
| Cess | |
| Penalty payable | |
| Integrated tax | |
| Central tax | |
| State or Union territory tax | |
| Cess | |
| Details of Notice | |
| Date | |
| Number | |
| Summary of findings |