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To: *GANDAR OIL AND REFINAERY-MUMBAI
Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /
Date from which registration is valid: 28/12/2010
Serial No: 33201131401016124575
Cash Memo / Challan as stated below *
goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010
(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.
Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *
are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of
Form C
[See rule 12(1)]
Original
Form of declaration
Date of Issue: 22/05/2013
Name of the purchasing dealer to whom issued along withhis Registration Certificate No
SAYAR PETRO INDIA PVT. LTD., 33894662489
Name of Issuing State: Tamil Nadu
Office of Issue: THIRUVANNAMALAI - II
It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................
NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.
[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]
**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)
***Strike out whichever is not applicable.
2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form
5.Seller TIN verified from Tinxsys
3.This form is printed by Purchaser.
4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.
The above statements are true to the best of my knowledge and belief.
in which the goods covered by this form are / will be delivered
Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI
(Status of the person signing the declaration in relation to the dealer)]
*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli
Date:22/05/2013 (Signature)............................................
(Name of the person signing the declaration)
-
8/10/2019 33894662489042013[1].pdf
2/6
2 900000240 16/04/2013 198336
1 900000293 16/04/2013 462745
Total 661081
Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date
TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744
Serial Number : 33201131401016124575
-
8/10/2019 33894662489042013[1].pdf
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To: *GANDAR OIL AND REFINAERY-MUMBAI
Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /
Date from which registration is valid: 28/12/2010
Serial No: 33201131401016124575
Cash Memo / Challan as stated below *
goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010
(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.
Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *
are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of
Form C
[See rule 12(1)]
Duplicate
Form of declaration
Date of Issue: 22/05/2013
Name of the purchasing dealer to whom issued along withhis Registration Certificate No
SAYAR PETRO INDIA PVT. LTD., 33894662489
Name of Issuing State: Tamil Nadu
Office of Issue: THIRUVANNAMALAI - II
It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................
NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.
[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]
**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)
***Strike out whichever is not applicable.
2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form
5.Seller TIN verified from Tinxsys
3.This form is printed by Purchaser.
4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.
The above statements are true to the best of my knowledge and belief.
in which the goods covered by this form are / will be delivered
Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI
(Status of the person signing the declaration in relation to the dealer)]
*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli
Date:22/05/2013 (Signature)............................................
(Name of the person signing the declaration)
-
8/10/2019 33894662489042013[1].pdf
4/6
2 900000240 16/04/2013 198336
1 900000293 16/04/2013 462745
Total 661081
Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date
TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744
Serial Number : 33201131401016124575
-
8/10/2019 33894662489042013[1].pdf
5/6
(Name of the person signing the declaration)
Date:22/05/2013 (Signature)............................................
*Name & Address of the seller with name of the State: GANDAR OIL AND REFINAERY-MUMBAIUNIT NO.2 PLOT NO.2 SURVEY NO 678/1/3VILLAGE NAROLI, NEARNAROLI CHECK POSTSILVASSA-396230Dadra and Nagar Haveli
(Status of the person signing the declaration in relation to the dealer)]
Name and address of the purchasing dealer in full: SAYAR PETRO INDIA PVT. LTD.,40A THIRUMANJANAGOPURA STREET TIRUVANNAMALAI-TIRUVANNAMALAI
The above statements are true to the best of my knowledge and belief.
4.Please visit our website http://tnvat.gov.in for verifying genuineness of the 'C' form by giving C form number.
3.This form is printed by Purchaser.
5.Seller TIN verified from Tinxsys
2.The contents of this 'C' form may be verified from the website www.tinxsys.com after 15 days from the date of issue of C form
***Strike out whichever is not applicable.
**Particulars of Bil l/Cash Memo[/Challan] Date .. .. .. .. .. ... .. .. .. ..No... .. .. .. .. .. .. .. Amount: 661081(details enclosed)
[Original - To be furnished to the prescribed authority in accordance with the rules framed under Section 13(4)(e) by the appropriate stateGovernment]
NOTE: 1.Counter Foil - To be retained by the purchasing dealer; Duplicate - To be retained by the selling dealer.
It is further certified that I / We am / are not registered under section 7 of the said Act, in the state of ............................................
Office of Issue: THIRUVANNAMALAI - II
Name of Issuing State: Tamil Nadu
Name of the purchasing dealer to whom issued along withhis Registration Certificate No
SAYAR PETRO INDIA PVT. LTD., 33894662489
Date of Issue: 22/05/2013
Form of declaration
CounterFoil
in which the goods covered by this form are / will be delivered
[See rule 12(1)]
Form C
are for *** resale/use in manufacture/processing of goods for sale/ use in mining/ use in generation /distribution of power / packing of
Purchased from you as per Bill / Cash Memo / Challan No ...........................dated ......................... as stated below *
(TIN:33894662489 Registration Date :28/12/2010) issued under the Central Sales Tax Act, 1956.
goods for sale/ resale and are covered by my/our Registration Certificate No. CSTNo:620949 Registration Date:28/12/2010
Cash Memo / Challan as stated below *
Serial No: 33201131401016124575
Date from which registration is valid: 28/12/2010
Certified that the goods** ordered for in our purchase order No........................ dated ...................... supplied as per Bill /
To: *GANDAR OIL AND REFINAERY-MUMBAI
-
8/10/2019 33894662489042013[1].pdf
6/6
2 900000240 16/04/2013 198336
1 900000293 16/04/2013 462745
Total 661081
Slno Invoice No Invoice Date Purchase Value Pur.Ord.No/Date
TIN ==>33894662489 Seller Name ==>GANDAR OIL AND REFINAERY-MUMBAI Sel ler TIN ==> 26000003744
Serial Number : 33201131401016124575