s jorn hosto be used for the invoices issucd fnm 24/12/2018onwattis. Version 1.
7,24/12/2018
form for Entry for GST Manual Transactiqns of Ret eipt
Part . To be filled by Representative ol Vendor / Contract r(Recipient)
Transoction Type: 2. Transauion Mode: Goods Services
3.Old Invoice 3.1 No: 3.2 Date ranctiorn Made iStation Cash Office
5. Sttn / Cash Off.: 6.Department Contract Value:
8.Zone: 9.Division. 10. State
11. Goods and Services Transaction Description: 12. Mvement involved (Y/N):
e Parccl, EFT, Sole ofScrop &Locoetc (App!t ible for sales of goods only)
13. Recipient's Details
13.1 Name: 13.2 is Government E tity (Y/N):
13.3 Registered with GSTIN (Y/N): 13.4 GSTIN:
13.5 Is Tax Payable on Reverse Charge Basis (Y/N): 13.6 State of Registrat on:
13.7 Registered Address:
13.8Emailld: 13.9Phone:
13.10 Address of Place of Supply:
13.11 Address of Place of Delivery: 13.22M:vementby:- Railways / Customer
3.13 Name/ Signature: 13.14 TDS Deduction N
PartB. To befilled by RailwayOficia! (Supplier
imp:involce Numbermustbe printed on theMR/Parcel wiy Biletc.
. Invoice issue Date: 2. Station / Cash Offic 1ode:
. MR/PW No: 4. Invoice No:
5.State Code of The Supplier: 6. GSTIN (State-Rly
7.ACCOUns Alocation Code: 8. Department Code:
S.Transaction Category(select applicable): Regular Exempted von-GST
10. Railway's GSTIN Registered Address: 11.Letier of Authority takengY/N};
From cutomer, applicable for sales of goo
12. Staxe of Place
ofSupply: 13.TDS Applied (Y/N}:
14.CodeType: Service Accounzing HSN 15. SA/ HSv Code:
15.Quantity 27.nits (uoc: 1.8. Appliable Taxes: inter-State intra-Statel
19. lnvoice and Tax Charged Datails
19.1 Supply Value: 19.2 Taxable '/aBue. 9.3 Co lacted Value:
19.4 IGST Rate: 19.5 iGST Amount: 19.6 IC TDS:
19.7 CGST Rate: 19.8 CGST Amount:
19:9C6TTDS:
19.10 U/sGST Rate: 19.11 U/SGST Anount 19.12 U, SGSTTDS:
(Signature of Railway Off ciai)
(Stamp)
2018
orriocncdnn: to FM Circular No. 10 of
ArLeure-
Undertaking Format for cor sigu nent häving value bolow Rs, 50,0OO
y declare tatn. uf ie conslgnment is bclow Rs. 50,O00/-, ncinc
and
*sa9 way bili-is noi q rer! sefore takirg dciivcry of the consignmcnt
i D e soleiy responsibic for any ioia icn of i : c GST Act, if clone by mc.
Signalure of the Consignor/Consignee
Piace
Date
Naimc & acddress of the Consignor/Cons1gnce
33uaisu00/10uIsuog y4 JO S$31ppe g ueN
3auIsuo3/10ußstroo oa J0 neuss