DELIVERY CHALLAN FORMAT

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This is a general template supplied free by Kompliance Factory.
It is a starting point, not legal or tax advice, and it is not tailored
to your business. Replace every [PLACEHOLDER] and have it checked before
you rely on it. Requirements change, and some vary by state.
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DELIVERY CHALLAN
(Not a tax invoice — issued under Rule 55)

Consignor
    [LEGAL NAME OF YOUR BUSINESS]
    [ADDRESS, CITY, STATE, PIN]
    GSTIN: [YOUR GSTIN]

Challan number: [CHALLAN NO]        Date: [DD/MM/YYYY]
Purpose: [Job work / Supply on approval / Branch transfer / Supply in parts /
          Other — state it]

Consignee
    [NAME]
    [ADDRESS, CITY, STATE, PIN]
    GSTIN: [GSTIN, if registered]

Place of supply: [STATE NAME] ([STATE CODE])

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 #  Description                HSN/SAC   Qty   Unit   Value (for insurance
                                                       and record purposes)
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 1  [DESCRIPTION]              [CODE]    [QTY] [UNIT] [VALUE]
 2  [DESCRIPTION]              [CODE]    [QTY] [UNIT] [VALUE]
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                                          Total value:          [AMOUNT]

Tax, where the challan is required to show it
    CGST: [AMOUNT]    SGST: [AMOUNT]    IGST: [AMOUNT]

Transport
    Vehicle number:   [NUMBER]
    Transporter:      [NAME]
    E-way bill number: [NUMBER, where one is required]

Expected date of return, for job work: [DD/MM/YYYY or "not applicable"]


For [LEGAL NAME OF YOUR BUSINESS]        Received the goods described above


_____________________________            _____________________________
Authorised signatory                     Signature of receiver
[NAME AND DESIGNATION]                   [NAME, DATE]

Original — Consignee | Duplicate — Transporter | Triplicate — Consignor