FORM GST MOV-01
STATEMENT OF THE OWNER / DRIVER/ PERSON IN CHARGE
OF THE GOODS AND CONVEYANCE
Statement of Sri ________________ S/o _________________ age ________ years, residing at __________________ owner/ driver /person- in- charge of the goods and conveyance
bearing No. ____________________ (Vehicle Number) made before the ____________ (Designation of the proper officer) on DD/MM/YYYY at _________ AM/PM at ____________ (place).
Today, you have intercepted the above mentioned conveyance and after disclosing your identity, you have requested me to produce my credentials and the documents relating to the goods in movement for your verification.
In this regard, I hereby declare the following.
I hereby further declare that, except the documents mentioned in the Annexure to this statement Which have been tendered to you, there are no other documents with me or in the conveyance relating to the goods in movement.
The facts recorded in this statement are as per the submissions made by me and the contents of the statement were explained to me once again in the ________________ (language) which is known to me and I declare that the information furnished in this statement is true and correct and I have retained a copy of this statement.
“Before me” (Owner/Driver/Person in charge)
Signature
Designation
ANNEXURE TO THE DEPONENT STATEMENT IN FORM GST MOV-01
| Particulars of Goods under movement – As per Documents Tendered | |||||||||
| SL. No | LR No | LR Date | Invoice/BOS/DC Date | Invoice/BOS/DC Date | Consignor | Consignee | Commodity | Value | EWB Bill No, IF Any |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
“Before me” (Owner/Driver/Person in charge)
Signature
Designation
Signature
Name and Designation of the Proper
Officer
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