Document text
Delivery Challan
(under rule 55 of the CGST Rules, 2017 — issued in lieu of a tax invoice)
Copy: [ ] ORIGINAL FOR CONSIGNEE [ ] DUPLICATE FOR TRANSPORTER [ ] TRIPLICATE FOR CONSIGNER
Delivery challan No. (up to 16 characters) [CHALLAN NUMBER]
Date [DATE]
Reason for movement [ ] job work [ ] not a supply (for example, sent for repair, exhibition or to own branch: [REASON]) [ ] liquid gas, quantity not known at removal [ ] supply — tax invoice to be issued after delivery [ ] lot or batch of invoice No. [INVOICE NUMBER] dated [INVOICE DATE]
Consigner: [CONSIGNER NAME], [CONSIGNER ADDRESS], State [STATE AND CODE], GSTIN [CONSIGNER GSTIN, IF REGISTERED]
Consignee: [CONSIGNEE NAME], [CONSIGNEE ADDRESS], State [STATE AND CODE], GSTIN / UIN [CONSIGNEE GSTIN OR UIN, IF REGISTERED]
Place of supply (inter-State movement only): [STATE AND CODE]
Transport: vehicle No. [VEHICLE NUMBER], transporter [TRANSPORTER NAME], e-way bill No. [E-WAY BILL NUMBER, IF REQUIRED]
No. Description of goods HSN code Quantity (mark "provisional" if not exact) Unit Taxable value (₹) Tax rate: CGST / SGST or UTGST / IGST / cess Tax amount (₹)
1 [DESCRIPTION] [HSN] [QUANTITY] [UNIT] [VALUE] [RATES] [TAX]
2 [DESCRIPTION] [HSN] [QUANTITY] [UNIT] [VALUE] [RATES] [TAX]
Total [TOTAL VALUE] [TOTAL TAX]
Tax rate and tax amount are filled in only where the goods move for supply to the consignee.
Value of the consignment including tax, in words: [AMOUNT IN WORDS]
For [CONSIGNER NAME]
Signature: ____________________ Name and designation: [SIGNATORY NAME AND DESIGNATION]
Received by the consignee — goods received as listed above:
[ ] in full [ ] with remarks: [REMARKS ON QUANTITY OR CONDITION]
Name: [RECEIVER NAME] Date: [DATE OF RECEIPT] Signature: ____________________
For me: before the goods leave
[ ] The reason for movement is one of those in rule 55(1); otherwise a tax invoice is needed
[ ] Three copies marked ORIGINAL FOR CONSIGNEE, DUPLICATE FOR TRANSPORTER, TRIPLICATE FOR CONSIGNER (rule 55(2))
[ ] Consignment value over ₹50,000 (tax included): e-way bill generated before the movement starts (rule 138(1)); inter-State job work: e-way bill whatever the value
[ ] Goods moved for supply without an invoice: tax invoice issued after delivery (rule 55(4))
[ ] Job work: inputs back within one year, capital goods within three years (section 143); challan included in FORM GST ITC-04 (rule 45(3))