Shree Road Carriers
Plot 14, Transport Nagar, Mankoli, Bhiwandi
Maharashtra — 421302 · Bhiwandi Booking Office
Ph: +91-98200-55667 · booking@shreeroadcarriers.in
GSTIN: 27AAKCS1234F1Z5
PAN: AAKCS1234F
SAC 9965 — GTA (consignment-note issuer)
Consignment Note / Lorry Receipt
No: CN/25-26/001234
Dt: 22-09-2026 10:30
CN: CN/25-26/001234
Vehicle: TBA
EWB: ___ (fill before dispatch if ≥ ₹50,000)
Route: Bhiwandi (MH) → Vapi (GJ)
Consignor
Acme Polymers
Gala 7, MIDC Phase II, Bhiwandi
Maharashtra (27) · 421302
GSTIN: 27AAKCA9876B1Z2
Ph: +91-98210-22334
Consignee
Vapi Plastics Works
Plot 88, GIDC, Vapi
Gujarat (24) · 396195
GSTIN: 24AAKCV5544C1Z8
Ph: +91-98980-33445
Freight terms: To pay
Declared value: ₹3,80,000.00
Person liable for GST: CONSIGNEE
Transhipment: Via Surat transhipment hub
| Sl | Goods (packages | packing | desc + HSN | shipper inv) | Actual / charged wt | Qty |
|---|---|---|---|
| 1 | HDPE granulesHSN 3901120 × Bags · Inv AP/1188 21-09-2026 · ₹2,85,000.00 | 3000 / 3000 kg | 3000 KGS |
| 2 | Masterbatch additiveHSN 320420 × Drums · Inv AP/1188 21-09-2026 · ₹95,000.00 | 500 / 500 kg | 500 KGS |
- Freight
- ₹12,000.00
- Loading
- ₹800.00
- Unloading
- ₹800.00
- Detention
- ₹0.00
- Demurrage
- ₹0.00
- Insurance / surcharge
- ₹500.00
- Risk surcharge
- ₹0.00
- Grand Total
- ₹14,100.00
In words: Rupees Fourteen Thousand One Hundred Only
GST treatment (tick exactly one)
☐ FCM 5% no-ITC — GST charged herein
☐ FCM 12% with-ITC — GST charged herein
☑ RCM — GST payable by recipient
GST @5% payable by recipient under RCM — Notif. 13/2017-CT(R). GTA has not opted for forward charge.
Bare truck/tempo hire without a consignment note is exempt (Notif. 12/2017-CT(R), Entry 18) and must not use this form. Historic ≤₹1,500/≤₹750 exemptions withdrawn 18-07-2022 — not applicable.
Carrier liability & risk
Carrier is responsible for the goods in transit except act of God / statutory seizure. Liability is limited to the declared value above; higher cover only where risk surcharge has been paid (Carriage by Road Act 2007).
Delivery: Godown delivery · ETA 24-09-2026 · free days 2. Lien transferred to carrier.
Instructions: Deliver at factory gate 2; notify store manager
Consignor declaration
Goods booked at owner's risk unless risk surcharge is paid; particulars above are true and correct. Booking clerk: S. Yadav · Driver: ___ (___).
Conditions of carriage (reverse)
- • Notice of claim for loss, damage or non-delivery must be made in writing within the statutory window under the Carriage by Road Rules 2011 — within 6 months of delivery or the scheduled delivery date.
- • On delivery, the consignee acknowledges the goods received in good condition on the POD copy.
- • Octroi/naka charges as applicable, on consignee account unless prepaid.
- • TDS u/s 194C applies on freight payments (accounts copy).
- • Cancelled CNs retained with CANCELLED + authorising sign.
Handle with care.