LAXMI ELECTRONICS

moulds & precision engineering

pvt.ltd.
B25,ITI-KSSIDC Mahadevapura post
Bangalore:560048

Range
Division
Commrt.
ECC No.
Regn No.

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:
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:

WHITEFIELD RANGE
BANGALORE DIVISION IV
BANGALORE I
BANGALORE I
AAACL5723AXM005

CHALLAN
For movement of inputs / capital
or
partially processed goods under
rule 4(5) (a) from one factory
to
another for further processing
Page 1 of
operations

Name & Address of Processor / Manufacturer

Challan No.

: 0000000062

LAXMI ELECTRONICS MOULDS&

Challan Date

: 21.05.2012

Unit III,

Trans. Posting No.

: 4900082175

Trans. Posting Yr.

: 2012

Bangalore:560066

Internal Doc. No.

: 0000001256

ECC No.

Internal Doc. Yr.

: 2012

Currency

: INR

# 81, EPIP Area, Whitefield,

TIN No.
CST No.

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:

PART I
SI
Material
Description
Qty / Unit.
Value
Tariff
No.
Code
HeadingNo.
---------------------------------------------------------------------------------------------------------------------------------------------------------------1

RH2443R1

Arnite
TV4264SN\WT.90.20.6\77910

2,000.000

0.00

KG

Text:

For Laxmi Electronics Moulds & Precision

Engg (P) Ltd

EXPECTED DURATION OF PROCESSING: 180 DAYS

PLACE : BANGALORE

Authorized Signatory

PART II
1. Date and time of despatch of finished goods to parent factory / another
manufacturer and entry no. and date of receipt in the account in the
processing factory.
2. Quantity despatch (Nos / weight/ litre/ metre) and entered in account.
3. Nature of processing / manufacturing done.
4. Quantity of waste material returned to the parent factory or cleared
for home
consumption. Invoice no. and date Quantum of duty paid (Both figure

Name & Address of Factory

Signature of Processor

PART III
To be filled by the parent factory in duplicate of challan on receipt of
goods
from the factory.
Certified that I / We have received the goods removed under the above
challan no.

For Laxmi Electronics Moulds & Precision

Engg (P) Ltd

Authorized Signatory

Terms & Conditions

1. Please return the entire processed goods on or before completionof 180 days from the date of challan. Otherwise value of the material alongwith the Tax &
Duties will be

debited to your account without any further information.

2. As and When you are returning the processed goods please ensure to send duly filled & signed in PART-II of the DUPLICATE COPY of the Challan.
3. Incase goods are sent in partial quantity. please send the photocopy of the Challan duly
4. Please return office copy of Challan to us duly signed as a token of material receipt.
5. All disputes subject to BANGALORE Jurisdiction.

filled in PART-II of the Challan.