Form JJ
Form JJ
Duplicate
Triplicate
Quadruplicate
FORM JJ
Delivery Note
[See rule 15(3), 15(18), 15(19), 15(20), 15(21) ]
(for sales / stock transfer / works contract / labour )
TIN
Asst. Year
1.
3.
4.
5.
Address
(i) from which goods are consigned.
(ii)
to which goods are consigned
Description of goods consigned
(a) Name of the goods.
(b) Quantity or weight
(c) Value of the goods
Purpose of transport
(a) for sale / purchase
(b) for shipment
(c) transfer to branch / head office/Consignment agent
(d) for execution of works contract
(e) for labour work / processing
6.
7.
Remarks, if any.
I/We certify that to the best of my/our knowledge the particulars are true, correct and
complete.
Name and signature of the person to
whom the goods were delivered for
transporting with status of person signing.
Place :
Date :
** Note (1) Original to be furnished to the officer incharge of the first check post or barrier, the
second copy to such officer in the last check post or barrier and the third copy shall be retained by
the owner or other person incharge of the goods vehicle or boat.
(2) The entries in this form should be made in ink or by copying pencil using double side carbon paper.
In the case of delivery notes issued in respect of goods intended to be transferred to a place
outside the State of Tamil Nadu entries should be made in English. In other cases of transport
such entries may be made either in English or in the official regional language of the State,
namely, Tamil.
(3) Any corrections made in the form should be duly attested by the person signing the
form.
**(4) The original, duplicate, triplicate and quadruplicate copies are to be printed in white,
blue, red and yellow colours respectively for easy identification.