Original for Consignee · Duplicate for Transporter · Triplicate for Consignor
DELIVERY CHALLAN / DISPATCH NOTE
(Issued under Rule 55 of Central Goods and Services Tax Rules, 2017 - Movement of Goods)
Details of Consignor / Supplier
Metacon Enterprises
Metacon Engineering & Industrial Supplies
Plot C-14/2, Wagle Industrial Estate, Road No. 16
Thane (W), Maharashtra - 400604
GSTIN: 27AABCM8920C1ZP
PAN: AABCM8920C
State Code: 27 (Maharashtra)
Challan / DC No:DC/ME/26-27/0410
Dated:28-Oct-2026
Buyer Order / PO Ref:KTW/NOV/01
Mode of Transport:By Dedicated Commercial Vehicle
Vehicle No:MH-04-AZ-9921
Purpose of Movement:Supply on Approval / Outward Sale
Details of Consignee / Destination of Delivery
Kalyani Tools & Dies Works
14/A, Peenya 2nd Stage, Bengaluru, Karnataka - 560058
GSTIN: 29AAHFK3412M1Z0PAN: AAHFK3412MState: Karnataka (Code: 29)
| # | Description of Goods | HSN | Quantity | Unit | Batch / Bin Ref | Packaging / Remarks |
|---|---|---|---|---|---|---|
| 1 | SKF Deep Groove Ball Bearing 6205-2RS | 8482 | 250 | PCS | BIN-100 / LOT-26 | Export Standard Steel Strapped Crates |
| Total Packages / Units Dispatched: | 250 | * Value for GST Statutory Compliance: ₹ 78,500.00 (Not a Demand for Payment) | ||||
Declaration under Rule 55: Goods are being dispatched strictly under delivery challan. Not an invoice for immediate sale. Consignee undertakes to inspect within 48 hours of delivery.
Transporter / Driver
Vehicle No: MH-04-AZ-9921
Carrier: Dedicated Commercial Freight
Driver Name: ____________
Driver Sign: ____________
Date & Time of Dispatch
Receiver Acknowledgment
Received the mentioned goods in good condition & intact packaging.
Receiver Seal & Signature
For Metacon Enterprises
Security Gate & Outward In-charge
(Dispatch Note - Valid for Transit)