Details of goods/capital goods sent to job worker and received back

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..... Rate of tax (%) Central tax State/UT tax Integrated tax Cess 1 2 3 4 5 6 7 8 9 10 11 12 5. Details of inputs/capital goods received back from job worker or sent out from business place of job work (A) Details of inputs/ capital goods received back from job worker to whom such goods were sent for job work; and losses and wastes: .....

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..... UQC Quantity Original challan No. under which goods have been sent for job work Original challan date under which goods have been sent for job work Natur e of job work done by job worke r Losses wastes UQC Quantity 1 2* 3* 4 5 6 7* 8* 9 10 11 .....

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..... (8) in Table (A), Table (B) and Table (C) may not be filled where one-to-one correspondence between goods sent for job work and goods received back after job work is not possible. 6. Verification I hereby solemnly affirm and declare that the information given hereinabove is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom. Signature Place Name of Authorised Signatory Date Designation /Status ] ******** Notes 1. Substituted vide Notification .....

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..... worker/supplied from premises of job worker Original challan No. Original challan date Challan details if sent to another job worker Invoice details in case supplied from premises of job worker Description UQC Quantity Taxable value No. Date GSTIN/ State if job worker unregistered No. Date 1 2 3 4 5 6 .....

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