(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 | ]2 |
1-a. Substituted (w.e.f. 01-02-2018) vide Notification No. 3/2018 – Central Tax dated 23-01-2018, for "UT"
1-b. Substituted (w.e.f. 01-02-2018) vide Notification No. 3/2018 – Central Tax dated 23-01-2018, for "UT"
2. Substituted vide Notification No.12/2018 – Central Tax dated 07-03-2018, for
“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 | |
| Invoice or Challan or Bill Date | |
| Invoice or Challan or Bill 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 1-a[Union territory]1-a tax | |
| Cess | |
| Penalty payable | |
| Integrated tax | |
| Central tax | |
| State or 1-b[Union territory]1-b tax | |
| Cess | |
| Details of Notice | |
| Date | |
| Number | |
| Summary of findings | " |
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