179. FORM GST MOV-04
GOVERNMENT OF INDIA FORM GST MOV-04
PHYSICAL VERIFICATION REPORT
Ref: FORM GST MOV-02 No. Dated
The physical verification of the goods conveyance bearing No. _has been conducted in the presence of Shri owner / person in charge of the goods vehicle. The details of the physical verification are as under:-
| PHYSICAL VERIFICATION REPORT | ||||||||
| Date of Physical Verification | ||||||||
| Goods Conveyance number | ||||||||
| Name of the Transporter | ||||||||
| Sl. No . | Transport Document/ LR No. & Date | Tendered Invoice / Documents No. & Date | Description of goods as per invoice including HSN code | Description of goods in the conveyance | Quantity as per invoice | Quantity as per physical verificati on | Diff. | |
| 1 | ||||||||
| Date: | Date: | |||||||
| 2 | ||||||||
| Date: | Date: | |||||||
I hereby declare that the physical verification of the goods and conveyance mentioned above has been conducted in my presence and I accept that the contents recorded in this report are true and correct.
Signature of the Owner / Person in charge
Signature Designation of the Proper Officer
ACKNOWLEDGEMENT :
I hereby duly declare that I have received a copy of the above report of physical verification.
Signature of the Owner / Person in charge
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