FORM KK Form filed by clearing and forwarding agent [See rule 15(14), 15(15), 15(18) ] Sl.No. ........................... Original: To be furnished to the prescribed authority. Duplicate: To be retained by the clearing or forwarding agent. Triplicate: To be retained by the selling dealer or forwarding agent. Name and address of the clearing or forwarding agent. II. (a) Full name and address of the selling or buying dealer (b) TIN (c) CST Registration No. (d) Designation of registering authority. (2) Description of the goods. (3) Quantity and weight (4) Value of the goods. (5) Clearing and Forwarding. From To (6) Signature of the selling dealer or consignor or person delivering the goods to the clearing/forwarding agent. (7) Signature of the clearing or forwarding agent or any person authorised by him to sign on his behalf. (8) Name of the transport company, vehicle No. or the person to whom the goods are delivered for transport. (9) Signature of the person taking delivery of the goods for transport. DECLARATION I/We....... declare that to the best of my/our knowledge and belief the information furnished in the above statement is true, correct and complete. Place: Date : Signature of the clearing and forwarding agent Name Note.(1) The documents prescribed in subrule(14) of rule 15 shall also accompany this delivery note. (2) In cases of bulk consignment sent in different goods vehicles or boats, on various dates, copies of the documents prescribed in subrule (14) of rule 15 shall be sent along with the goods vehicle or boat, duly certified as 'True copy' by the clearing or importer, as the case may be.
