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Destination Copy Check Gate Copy: Transport Challan Form "D" Transport Challan Form "D"

The document is a transport challan for the delivery of 975 cubic feet of stone chips from a dealer to a purchaser for a construction project. It includes details such as the dealer's and purchaser's information, vehicle details, sale price, and the route for transportation. The challan is valid until March 5, 2025, and includes a declaration of accuracy from the dealer.

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0% found this document useful (0 votes)
16 views2 pages

Destination Copy Check Gate Copy: Transport Challan Form "D" Transport Challan Form "D"

The document is a transport challan for the delivery of 975 cubic feet of stone chips from a dealer to a purchaser for a construction project. It includes details such as the dealer's and purchaser's information, vehicle details, sale price, and the route for transportation. The challan is valid until March 5, 2025, and includes a declaration of accuracy from the dealer.

Uploaded by

tiwarycreation
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.

000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/…

F32500785/20 05-Mar-2025 BR03GB9746 975.000


Destination Copy F32500785/20 05-Mar-2025 BR03GB9746 975.000
Check Gate Copy
TRANSPORT
06 Mar 2025 4:19:28 AM CHALLAN TRANSPORT
06 Mar 2025 4:19:28 AM CHALLAN
FORM "D" FORM "D"
F32500785/20 05-Mar-2025 BR03GB9746 975.000
[Rules 9]
F32500785/20 05-Mar-2025 BR03GB9746 975.000
[Rules 9]
06 (See
Mar 2025
section 23-C 4:19:28 AM (Developement & Regulation) Act, 1957)
of Mines & Minerals 06 (See
Mar 2025
section 23-C 4:19:28 AM (Developement & Regulation) Act, 1957)
of Mines & Minerals
ORIGINAL (NOT TRANSFERABLE) ORIGINAL (NOT TRANSFERABLE)
F32500785/20 05-Mar-2025 BR03GB9746 975.000 F32500785/20 05-Mar-2025 BR03GB9746 975.000
05-Mar- 05-Mar-
Serial Number : F32500785/20 Date : 2025 Serial Number : F32500785/20 Date : 2025
06 Mar 2025 4:19:28 AM 06 Mar 2025 4:19:28 AM
F32500785/20Transportation
05-Mar-2025 for Inter State/Intra State
BR03GB9746 975.000
(To be filled by the Dealer before transport of mineral)
F32500785/20Transportation
05-Mar-2025 for Inter State/Intra State
BR03GB9746 975.000
(To be filled by the Dealer before transport of mineral)
06 Mar 2025 4:19:28 AM ANJANEE KUMAR-MAUZA GASEDAG KHATA 06 Mar 2025 4:19:28 AM ANJANEE KUMAR-MAUZA GASEDAG KHATA
NO 121 OLD 141 NEW PLOT NO 15 P 18 P OLD NO 121 OLD 141 NEW PLOT NO 15 P 18 P OLD
F32500785/20 05-Mar-2025
218 P 94 PBR03GB9746
1. Name and Address of the Dealer
975.000
95P AREA 4.10 ACRE RANKA, F32500785/20 05-Mar-2025
218 P 94 PBR03GB9746
1. Name and Address of the Dealer
975.000
95P AREA 4.10 ACRE RANKA,
GARHWA Po.Ranka Raj SO -822125 GARHWA Po.Ranka Raj SO -822125
06 Mar 2025 4:19:28 AM 06 Mar 2025 4:19:28 AM
ANJANEE KUMAR-412263653001-MAUZA ANJANEE KUMAR-412263653001-MAUZA
F32500785/20 05-Mar-2025
2. Details of the Dealer’s Permit
BR03GB9746 975.000
GASEDAG KHATA NO 121 OLD 141 NEW PLOT
NO 15 P 18 P OLD 218 P 94 P 95P AREA 4.10
F32500785/20 05-Mar-2025
2. Details of the Dealer’s Permit
BR03GB9746 975.000
GASEDAG KHATA NO 121 OLD 141 NEW PLOT
NO 15 P 18 P OLD 218 P 94 P 95P AREA 4.10
ACRE RANKA, GARHWA Po.Ranka Raj SO ACRE RANKA, GARHWA Po.Ranka Raj SO
06 Mar 2025 4:19:28 AM -822125 06 Mar 2025 4:19:28 AM -822125

F32500785/20
3. 05-Mar-2025
Name of the Mineral/Grade BR03GB9746
STONE Stone Chips -No Size 975.000 F32500785/20
3. 05-Mar-2025
Name of the Mineral/Grade BR03GB9746
STONE Stone Chips -No Size 975.000
06Name
4. Mar 2025of4:19:28
and address the purchaserAM
to whom mineral has been sold and to be supplied 06Name
4. Mar 2025of4:19:28
and address the purchaserAM
to whom mineral has been sold and to be supplied
DEEPAK KUMAR PATHAK 0-CONSTRUCTION OF ROAD FROM MANGARAHI DEEPAK KUMAR PATHAK 0-CONSTRUCTION OF ROAD FROM MANGARAHI
F32500785/20 05-Mar-2025 BR03GB9746 975.000
BANDH VILLAGE NAWADIH AND DHARMDIHA TOLA IN KALYANPUR TO NEW F32500785/20 05-Mar-2025 BR03GB9746 975.000
BANDH VILLAGE NAWADIH AND DHARMDIHA TOLA IN KALYANPUR TO NEW
SAMAHARNALAY GARHWA DIST GARHWA,JHARKHAND , Garhwa PS, GARHWA, SAMAHARNALAY GARHWA DIST GARHWA,JHARKHAND , Garhwa PS, GARHWA,
06 Mar 2025 4:19:28 AM
JHARKHAND,Pin Code- 822114 06 Mar 2025 4:19:28 AM
JHARKHAND,Pin Code- 822114

F32500785/20
5. Quantity (in
Cft)
975.00005-Mar-2025 BR03GB9746
Vehicle No 975.000
BR03GB9746 F32500785/20
5. Quantity (in
Cft)
975.00005-Mar-2025 BR03GB9746
Vehicle No 975.000
BR03GB9746

06 Mar
6. Sale Price as2025 4:19:28
mentioned in AM 06 Mar 2025 4:19:28 AM
6. Sale Price as mentioned in
Total Sale Total Sale
INVOICE (Submitted to Sales Tax 20.00 19500.00 INVOICE (Submitted to Sales Tax 20.00 19500.00
F32500785/20 05-Mar-2025 BR03GB9746
Department) per MT/CFT/M3
Price 975.000 F32500785/20 05-Mar-2025 BR03GB9746
Department) per MT/CFT/M3
Price 975.000
06 Mar
7. Rate 2025 NA
of Royalty 4:19:28 AM Royalty NA 06 Mar 2025 NA
7. Rate of Royalty
4:19:28 AM Royalty NA
Amount Amount
F32500785/20 05-Mar-2025 BR03GB9746 975.000
8. Name and address of Vehicle
F32500785/20 05-Mar-2025 BR03GB9746 975.000
8. Name and address of Vehicle
MAA CONSTRUCTION-NA MAA CONSTRUCTION-NA
owners
06 Mar 2025 4:19:28 AM 06 Mar 2025 4:19:28 AM
owners

F32500785/20
9. 05-Mar-2025
Name and address of the BR03GB9746
Driver in case the minerals is to be transported 975.000
by Road F32500785/20
9. 05-Mar-2025
Name and address of the BR03GB9746
Driver in case the minerals is to be transported 975.000
by Road

06 Mar
TUFANI 2025 4:19:28 AM
BHUIYA,GARHWA-7050374806 06 Mar
TUFANI 2025 4:19:28 AM
BHUIYA,GARHWA-7050374806

F32500785/20 CONSTRUCTION
05-Mar-2025
FROM
OF ROAD
BR03GB9746 975.000
MANGARAHI BANDH F32500785/20 CONSTRUCTION
05-Mar-2025 BR03GB9746 975.000
OF ROAD
FROM MANGARAHI BANDH
VILLAGE NAWADIH AND VILLAGE NAWADIH AND
06 Mar 2025 4:19:28 AM
DHARMDIHA TOLA IN 06 Mar 2025 4:19:28 AM
DHARMDIHA TOLA IN
KALYANPUR TO NEW KALYANPUR TO NEW
Direct to Destination
F32500785/20 05-Mar-2025 BR03GB9746
Mineral
975.000
10. Place of delivery of SAMAHARNALAY GARHWA
Route by Road F32500785/20 05-Mar-2025 BR03GB9746
Mineral
975.000
Direct to Destination
10. Place of delivery of SAMAHARNALAY GARHWA
Route by Road
DIST GARHWA,JHARKHAND , DIST GARHWA,JHARKHAND ,
06 Mar 2025 4:19:28 AM Garhwa PS, GARHWA,
JHARKHAND,Pin Code- 822114
06 Mar 2025 4:19:28 AM Garhwa PS, GARHWA,
JHARKHAND,Pin Code- 822114
GARHWA Po.Garhwa SO
F32500785/20 05-Mar-2025 BR03GB9746 975.000
JHARKHAND PIN-822114 F32500785/20 05-Mar-2025 BR03GB9746 975.000
GARHWA Po.Garhwa SO
JHARKHAND PIN-822114
06 Mar
Distance 2025 4:19:28
in(K.M.) 69.900 AM 06 Mar
Distance 2025 4:19:28
in(K.M.) 69.900 AM
F32500785/20 05-Mar-2025
11. Date of dispatch of
Mineral
05 Mar 2025 BR03GB9746 975.000
Time 11:49:28 PM F32500785/20 05-Mar-2025
11. Date of dispatch of
Mineral
05 Mar 2025 BR03GB9746 975.000
Time 11:49:28 PM

06I/We
Mar 2025
here by declare4:19:28
that the aboveAM
statements are correct and complete to the best of 06I/We
Mar 2025
here by declare4:19:28
that the aboveAM
statements are correct and complete to the best of
my/our Knowledge and belief. my/our Knowledge and belief.
F32500785/20 05-Mar-2025 BR03GB9746 975.000 F32500785/20 05-Mar-2025 BR03GB9746 975.000
06 ofMar
Seal 2025
Competent 4:19:28 AM
Officer Signature Of Dealer 06 ofMar
Seal 2025
Competent 4:19:28 AM
Officer Signature Of Dealer

06 Mar 2025 4:19:28


Challan Valid 05 Mar 2025 11:49:30 06 Mar 2025 4:19:28 05 Mar 2025 11:49:30
F32500785/20
Upto AM 05-Mar-2025 BR03GB9746
Printed on 975.000PM F32500785/20
AM 05-Mar-2025 BR03GB9746
Challan Valid
Upto
Printed on 975.000PM
06 Mar 2025 4:19:28 AM 06 Mar 2025 4:19:28 AM
F32500785/20 05-Mar-2025 BR03GB9746 975.000 F32500785/20 05-Mar-2025 BR03GB9746 975.000
06 Mar 2025 4:19:28 AM
RESULT OF CHECKING IN ROUTE 06 Mar 2025 4:19:28 AM
RESULT OF CHECKING IN ROUTE
Designation and Head Quaters Description Quantity of the Dated signature of the Designation and Head Quaters Description Quantity of the Dated signature of the
F32500785/20 05-Mar-2025
of the authority by BR03GB9746
of mineral Mineral 975.000
authority mentioned F32500785/20 05-Mar-2025
of the authority by BR03GB9746
of mineral Mineral 975.000
authority mentioned
whom the transport of the actually in column-1 and place of whom the transport of the actually in column-1 and place of
06 Mar 2025 4:19:28 AM
mineral was checked. transported checking. 06 Mar 2025 4:19:28 AM
mineral was checked. transported checking.

F32500785/20 05-Mar-2025 BR03GB9746 975.000


Note- (1) Separate form should be used for each consignment
F32500785/20 05-Mar-2025 BR03GB9746 975.000
Note- (1) Separate form should be used for each consignment
06 Mar 2025 4:19:28 AM 06 Mar 2025 4:19:28 AM
(2) (a) In case of transport accross or byond check post a copy of the form (2) (a) In case of transport accross or byond check post a copy of the form
F32500785/20 05-Mar-2025 BR03GB9746 975.000
should accompany the consignment. F32500785/20 05-Mar-2025 BR03GB9746 975.000
should accompany the consignment.
412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/20|05 Mar 2025 11:49:30 PM|975.000|412263653001|F32500785/…

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