Page No 1 of 2

Original The Central Sales Tax Registration and Turnover Rules, 1957
1[FORM F]
[Form of declaration to be issued by the transferee]
[See rule 12(5)]
Serial No : 09071552000481
Name of the issuing State : Uttar Pradesh
Office of issue : Lucknow Sector-20 , DC
Date of issue : 12/04/2019
Name and address of the person to whom issued along with his Registration Certificate No. : M/S INDUS TOWERS LIMITED,6th
Floor BBD VIRAJ TOWER VIBHUTI KHAND GOMTI NAGAR LUCKNOW.,09550004836
Date from which registration is valid : 27/03/2008
SEAL of issuing Authority
To :INDUS TOWERS LIMITED(Seller),

Registration Certificate No. of the transferor 07980338463 Certified that the goods transferred to me/us as per details below
(Goods detail)have been received and duly accounted for:–
Description of the goods sent ............. Quantity or weight............. Value of the goods 2032160.00
Number and date of invoice [or chalan or any other document under which goods were sent] 3

As Given in Separate Sheet below (Goods detail)

1. Inserted by G.S.R. 56(E), dated 9-1973, w.e.f. 1-4-1973.

2. Inserted by G.S.R. 519(E), dated 13-12-1973

Name of Railway, Steamer or Ferry Station or Air Port or Post Office or Road Transport Company’s Office from where the goods
were dispatched : BY ROAD
No. and date of Railway Receipt or postal Receipt or Goods Receipt with trip sheet of lorry or any other document indicating the
means of transport :
Date on which delivery was taken by the transferee : As Given in Separate Sheet below (Goods detail)

The above statements are true to the best of my knowledge and belief.
(Signature)………………

(Name of the person signing the declaration).

* (Status of the person signing the declaration in relation to the transferee).
* (Status of the person signing the declaration in relation to the transferor).
Date ……………………….
Total Ammount :2032160.00
*Strike out whichever is not applicable.
(Note.–To be retained by the transferee).
This is an online generated form and authenticity of it can be verified from http://www.comtax.up.nic.in by giving form
number :09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Page No. : 2 of 2

GOODS DETAIL
Sl. Challan No. Challan Date RR/GR No. RR/GR Date Delivery Date Commodity Quantity Amount
No.
1. 13091080432 16/10/2014 1410ES67918 16/10/2014 17/10/2014 Rectifier 40 416160.00
39 800149429 Modules 48 V,
3200 W -
Emerson
2. 13091080434 28/10/2014 1410ES57918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
97 800277700 VRLA+ 48 V,
600AH
(Version 2.0)
3. 13091080434 28/10/2014 1410ES27918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
98 800277752 VRLA+ 48 V,
600AH
(Version 2.0)
Total : 2032160.00
 Page No 1 of 2

Duplicate The Central Sales Tax Registration and Turnover Rules, 1957
1[FORM F]
[Form of declaration to be issued by the transferee]
[See rule 12(5)]
Serial No : 09071552000481
Name of the issuing State : Uttar Pradesh
Office of issue : Lucknow Sector-20 , DC
Date of issue : 12/04/2019
Name and address of the person to whom issued along with his Registration Certificate No. : M/S INDUS TOWERS LIMITED,6th
Floor BBD VIRAJ TOWER VIBHUTI KHAND GOMTI NAGAR LUCKNOW.,09550004836
Date from which registration is valid : 27/03/2008
SEAL of issuing Authority
To :INDUS TOWERS LIMITED(Seller),

Registration Certificate No. of the transferor 07980338463 Certified that the goods transferred to me/us as per details below
(Goods detail)have been received and duly accounted for:–
Description of the goods sent ............. Quantity or weight............. Value of the goods 2032160.00
Number and date of invoice [or chalan or any other document under which goods were sent] 3

As Given in Separate Sheet below (Goods detail)

1. Inserted by G.S.R. 56(E), dated 9-1973, w.e.f. 1-4-1973.

2. Inserted by G.S.R. 519(E), dated 13-12-1973

Name of Railway, Steamer or Ferry Station or Air Port or Post Office or Road Transport Company’s Office from where the goods
were dispatched : BY ROAD
No. and date of Railway Receipt or postal Receipt or Goods Receipt with trip sheet of lorry or any other document indicating the
means of transport :
Date on which delivery was taken by the transferee : As Given in Separate Sheet below (Goods detail)

The above statements are true to the best of my knowledge and belief.
(Signature)………………

(Name of the person signing the declaration).

* (Status of the person signing the declaration in relation to the transferee).
* (Status of the person signing the declaration in relation to the transferor).
Date ……………………….
Total Ammount :2032160.00
*Strike out whichever is not applicable.
(Note.–To be retained by the transferee).
This is an online generated form and authenticity of it can be verified from http://www.comtax.up.nic.in by giving form
number :09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Page No. : 2 of 2

GOODS DETAIL
Sl. Challan No. Challan Date RR/GR No. RR/GR Date Delivery Date Commodity Quantity Amount
No.
1. 13091080432 16/10/2014 1410ES67918 16/10/2014 17/10/2014 Rectifier 40 416160.00
39 800149429 Modules 48 V,
3200 W -
Emerson
2. 13091080434 28/10/2014 1410ES57918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
97 800277700 VRLA+ 48 V,
600AH
(Version 2.0)
3. 13091080434 28/10/2014 1410ES27918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
98 800277752 VRLA+ 48 V,
600AH
(Version 2.0)
Total : 2032160.00
 Page No 1 of 2

Counterfoil The Central Sales Tax Registration and Turnover Rules, 1957
1[FORM F]
[Form of declaration to be issued by the transferee]
[See rule 12(5)]
Serial No : 09071552000481
Name of the issuing State : Uttar Pradesh
Office of issue : Lucknow Sector-20 , DC
Date of issue : 12/04/2019
Name and address of the person to whom issued along with his Registration Certificate No. : M/S INDUS TOWERS LIMITED,6th
Floor BBD VIRAJ TOWER VIBHUTI KHAND GOMTI NAGAR LUCKNOW.,09550004836
Date from which registration is valid : 27/03/2008
SEAL of issuing Authority
To :INDUS TOWERS LIMITED(Seller),

Registration Certificate No. of the transferor 07980338463 Certified that the goods transferred to me/us as per details below
(Goods detail)have been received and duly accounted for:–
Description of the goods sent ............. Quantity or weight............. Value of the goods 2032160.00
Number and date of invoice [or chalan or any other document under which goods were sent] 3

As Given in Separate Sheet below (Goods detail)

1. Inserted by G.S.R. 56(E), dated 9-1973, w.e.f. 1-4-1973.

2. Inserted by G.S.R. 519(E), dated 13-12-1973

Name of Railway, Steamer or Ferry Station or Air Port or Post Office or Road Transport Company’s Office from where the goods
were dispatched : BY ROAD
No. and date of Railway Receipt or postal Receipt or Goods Receipt with trip sheet of lorry or any other document indicating the
means of transport :
Date on which delivery was taken by the transferee : As Given in Separate Sheet below (Goods detail)

The above statements are true to the best of my knowledge and belief.
(Signature)………………

(Name of the person signing the declaration).

* (Status of the person signing the declaration in relation to the transferee).
* (Status of the person signing the declaration in relation to the transferor).
Date ……………………….
Total Ammount :2032160.00
*Strike out whichever is not applicable.
(Note.–To be furnished to the assessing authority in accordance with the rules framed under section 13(4)(e).
This is an online generated form and authenticity of it can be verified from http://www.comtax.up.nic.in by giving form
number :09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Printing Date :12/04/2019 12:21:57 Serial No. : 09071552000481
Page No. : 2 of 2

GOODS DETAIL
Sl. Challan No. Challan Date RR/GR No. RR/GR Date Delivery Date Commodity Quantity Amount
No.
1. 13091080432 16/10/2014 1410ES67918 16/10/2014 17/10/2014 Rectifier 40 416160.00
39 800149429 Modules 48 V,
3200 W -
Emerson
2. 13091080434 28/10/2014 1410ES57918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
97 800277700 VRLA+ 48 V,
600AH
(Version 2.0)
3. 13091080434 28/10/2014 1410ES27918 28/10/2014 29/10/2014 Battery Bank 5 808000.00
98 800277752 VRLA+ 48 V,
600AH
(Version 2.0)
Total : 2032160.00