|
GSTIN / Name of job worker if unregistered |
Challan no. |
Challan
date |
Goods
Receipt date
(In case of
direct
delivery to
Job-worker) |
Place of
Supply
(State of
recipient
) |
Description |
UQC |
Quantity |
Taxable
value |
Type
of
goods
(Inputs
/capital
goods) |
Amount of tax |
|
CGST |
SGST |
UTGST |
IGST |
Cess |
|
Rate
(%) |
Amt. |
Rate
(%) |
Amt. |
Rate
(%) |
Amt. |
Rate
(%) |
Amt. |
Amt. |
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
18 |
19 |
|
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3A. Amendment of details of inputs/capital goods removed for job-work
|
Original details |
Revised details |
GSTI
N /
Name
of Job
worke
r |
Chall
an no. |
Chall
an
date |
GSTI
N /
Name
of Job
worker |
Challa
n
No. |
Challa
n
Date |
Goods
Receipt
date in
case of
direct
delivery to
Jobworker. |
POS
(place of
Supply) |
Descrip
tion |
UQ
C |
Quantit
y |
Taxab
le
value |
Type of
goods
(Inputs/
capital
goods) |
Amount of tax |
| CGST |
SGST |
UTGST |
IGST |
Cess |
Rate
(%) |
Am
t. |
Rate
(%) |
Am
t. |
Rate
(%) |
Am
t. |
Rate
(%) |
Amt. |
Amt. |
| 1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
18 |
19 |
20 |
21 |
22 |
| |
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4.
Details of inputs/capital goods received back from job worker or sent out from business place of job-work
|
GSTIN
/
Name
of job
worker |
Received
back/sent
out
directly |
Original
challan
No. |
Original
challan
date |
Invoice
details in
case of sent
out directly |
Description |
UQC |
Quantity |
Taxable
value |
Type
of
goods
(Inputs
/capital
goods) |
Amount of tax |
|
CGST |
SGST |
UTGST |
IGST |
Cess |
|
No. |
Date |
Rate
(%) |
Amt. |
Rate
(%) |
Amt. |
Rate
(%) |
Rate |
Rate
(%) |
Amt. |
Amt. |
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
12 |
13 |
14 |
15 |
|
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4A. Amendments of Details of inputs/capital goods received back or disposed of from business place of job-work
|
Receiv
ed
back/se
nt out
directly |
Original details |
Revised details |
Amount of tax
involved on goods received |
GSTI
N /
Name
of Job
worke
r |
Chall
an no. |
Chall
an
date |
Challa
n
No. |
Challa
n
Date |
Invoice
Details in
case of sent
out Directly |
Descrip
tion |
UQ
C |
Quantit
y |
Taxab
le
value |
Type of
goods
(Inputs/
capital
goods) |
| CGST |
SGST |
UTGST |
IGST |
Cess |
| No. |
Date |
Rate
(%) |
Am
t. |
Rate
(%) |
Am
t. |
Rate
(%) |
Am
t. |
Rate
(%) |
Amt. |
Amt. |
| 1 |
1 |
2 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
11 |
12 |
13 |
14 |
15 |
16 |
17 |
18 |
19 |
20 |
21 |
22 |
| |
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5.
Verification
(by authorized signatory)
I hereby solemnly affirm and
declare that the information given herein above is true and
correct to the best of my knowledge and belief and nothing
has been concealed therefrom.
|
|
Signature |
|
Place |
Name of Authorized Signatory
.
|
|
Date |
Designation /Status
|
Note :
CGST stands for Central Goods and Services Tax
SGST stands for State Goods and Services Tax
UTGST stands for Union Territory Goods and Services Tax
IGST stands for Integrated Goods and Services Tax
Cess stands for Goods and Services Tax (Compensation to States) |