FORM VAT- 35 [See Rule -37(1)] DISPATCH NOTE FROM PRINCIPAL TO AGENT Serial Number: _____________ Registration No.(TIN) 1. Name of Dealer 2. Address Bldg. No/ Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. 3. (a) Name of Agent (b) Registration No. (TIN) (c) Address Bldg. No/ Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. 4. Date of dispatch of goods by the principal (DD / MM / YYYY) 5. Description of the goods dispatched: (Enclose all challans with the dispatch note) Challan No Challan date Name of commodity Quantity Estimated / Weight Value of goods 6. Details of the transporter carrying the goods Name Address Bldg. No/ Name/ Area Town/City District (State) Pin Code Email Id Telephone Number(s) FAX No. 7. Registration number of the vehicle by which goods are dispatched Place: Signature Date: Name : Status : Verification I verify that the information given on this form and in its enclosures is true and correct to the best of my knowledge and belief and nothing has been concealed. Place: Signature Date: Name : Status : Original / Duplicate
