Kaveri Agencies
No. 14, Sayyaji Rao Road, Mysuru, Karnataka 570001
GSTIN 29AAKFK9999A1ZM · +91 821 000 0000
GSTIN 29AAKFK9999A1ZM · +91 821 000 0000
Delivery challan
Rule 55, CGST Rules, 2017
Original for consignee
Challan numberKA-DC/26-27/031
Challan date4 Nov 2026
ConsignerKaveri Agencies
No. 14, Sayyaji Rao Road, Mysuru, Karnataka 570001
GSTIN: 29AAKFK9999A1ZM
State: 29-Karnataka
No. 14, Sayyaji Rao Road, Mysuru, Karnataka 570001
GSTIN: 29AAKFK9999A1ZM
State: 29-Karnataka
Consignee (job worker)Sri Murugan Polishing Works
Plot 7, SIPCOT Phase I, Hosur, Tamil Nadu 635126
GSTIN: 33AAMPM9999D1Z2
State: 33-Tamil Nadu
Plot 7, SIPCOT Phase I, Hosur, Tamil Nadu 635126
GSTIN: 33AAMPM9999D1Z2
State: 33-Tamil Nadu
Purpose of movementJob work — goods sent to a job worker (section 143). Not a supply; no tax charged.
Place of supply / destination state (inter-state movement)33-Tamil Nadu
E-way billNeeded for inter-state job work whatever the value. EWB no.: ____________
Vehicle / transporterKA-09-XX-0000 · Self
| # | Description | HSN | Qty | Unit | Rate | Taxable value | Tax rate | Tax amount |
|---|---|---|---|---|---|---|---|---|
| 1 | Brass tap body castings, unpolished, for polishing | 848190 | 500 | NOS | ₹480 | ₹2,40,000 | — | Not charged |
| Total value of goods | ₹2,40,000 | |||||||
Value in wordsRupees two lakh forty thousand only
Return by (inputs: within 1 year)3 Nov 2027
Received by consigneeName, date and signature: ____________________
Make three copies: original for the consignee, duplicate for the transporter, triplicate for the consigner. Where tax applies (for example, goods sent on approval and then sold), show the tax rate and amount.
For Kaveri Agencies
Authorised signatory
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