Subject To JAIPUR jurisdiction Mob: 7317362009

BALAJI TRANSPORT COMPANY

NA
CONSIGNOR COPY
H-5 TRANSPORT NAGAR JAIPUR , JAIPUR, RAJASTHAN
PAN NO : MIWPS6885D
Transport Reg. No. : , E-mail :[email protected], Website :
GSTIN :

CONSIGNOR'S DETAILS CONSIGNEE'S / BUYER'S DETAILS BILL/INVOICE NO DRIVER NAME :

A S TRADERS SHRI BALAJI SALES 13

NAME : NAME : DRIVER NUM :

ADDRESS : 0, Nagla Padiyawali Agra Road, Baba Neem Karauli Mandir Ke ADDRESS : Sector 3-a, 374, Battan Lal Road, Battan Lal Road, Mandi
DL NUMBER :
Pass, Bharat Sanchar Nagar Ltd, Civil Lin.. Govindgarh, Fatehgarh Sahib, Punjab, 1473.. BILL/INVOICE DATE :
EMAIL : EMAIL : E WAY BILL NO
OWNER NAME :
GSTIN : 09EZQPS7702Q1Z4 CONTACT : GSTIN : 03COIPS0460Q1ZJ CONTACT : .
OWNER NUMBER :
Bank Name: Bank Name:

INSURANCE SCHEDULE OF DEMURAARGE AT CARRIER RISK BILTY NO : 25-26/9716 VEHICLE NUMBER : From
THE CUSTOMER HAS STATED THAT Demurrage Chargeable After 1 Hour from the date PB-23-T-0876 ALIGARH (UTTAR
CAUTION
STATUS : NON INSURED of arrival Rs. Per Hour PRADESH)
DATE : 13-Jul-2025
COMPANY : NOTICE This consignment will not be
Vehicle Size :
POLICY NO : We are sending Vehicle no PB-23-T-0876 as per your Detained, re-route, diverted or re-
SEAL NUMBER : To
AMOUNT : order.Please arrange to load the same and check up book without consignees /
DELIVERY ADDRESS :
DATE : yourself all the paper of the vehicle before loading.You consignor bank written permission. PUNJAB
RISK : AT CARRIER RISK are requested to insure the goods otherwise the It will be delivered at the
GATE PASS NO. : company is not liable for any loss or damages. destination.

PACKAGING NUMBER OF ARTICLE MATERIAL NAME DESCRIPTION OF GOOD (SAID TO CONTAIN) HSN CODE WEIGHT Rate / KG AMOUNT
TYPE ACTUAL GUARANTEE 1 / KG FREIGHT
12665 KG FREIGHT AMOUNT 12665
OLD IRON SCRAP 72044900
KG HALTING CHARGE
LOAD/UNLOAD CHARGE
SERVICE CHARGE
OTHER CHARGE
TOTAL AMOUNT 12665
RECEIVING USE ONLY REMARK STATUS AUTHENTICATION ADVANCE AMOUNT
RECEIVER NAME : ______________________
BALANCE AMOUNT 12665
RECEIVER NUMBER : RECEIVER SIGN

VALUES OF GOODS : ( RUPEES )

FOR, BALAJI TRANSPORT COMPANY
REMARK :

AUTHORIZE SIGNATURE
BANK ACCOUNT DETAILS
BANK ACCOUNT NUMBER : A/C HOLDER NAME :
IFSC CODE : BANK NAME :
PAN CARD NAME : PAN CARD NUMBER : MIWPS6885D
BRANCH OFFICE ADDRESS:
This electronic generated pdf does not require any physical signature. Date : 2025-07-13 21:18:51
 Subject To JAIPUR jurisdiction Mob: 7317362009

BALAJI TRANSPORT COMPANY

NA
CONSIGNEE COPY
H-5 TRANSPORT NAGAR JAIPUR , JAIPUR, RAJASTHAN
PAN NO : MIWPS6885D
Transport Reg. No. : , E-mail :[email protected], Website :
GSTIN :

CONSIGNOR'S DETAILS CONSIGNEE'S / BUYER'S DETAILS BILL/INVOICE NO DRIVER NAME :

A S TRADERS SHRI BALAJI SALES 13

NAME : NAME : DRIVER NUM :

ADDRESS : 0, Nagla Padiyawali Agra Road, Baba Neem Karauli Mandir Ke ADDRESS : Sector 3-a, 374, Battan Lal Road, Battan Lal Road, Mandi
DL NUMBER :
Pass, Bharat Sanchar Nagar Ltd, Civil Lin.. Govindgarh, Fatehgarh Sahib, Punjab, 1473.. BILL/INVOICE DATE :
EMAIL : EMAIL : E WAY BILL NO
OWNER NAME :
GSTIN : 09EZQPS7702Q1Z4 CONTACT : GSTIN : 03COIPS0460Q1ZJ CONTACT : .
OWNER NUMBER :
Bank Name: Bank Name:

INSURANCE SCHEDULE OF DEMURAARGE AT CARRIER RISK BILTY NO : 25-26/9716 VEHICLE NUMBER : From
THE CUSTOMER HAS STATED THAT Demurrage Chargeable After 1 Hour from the date PB-23-T-0876 ALIGARH (UTTAR
CAUTION
STATUS : NON INSURED of arrival Rs. Per Hour PRADESH)
DATE : 13-Jul-2025
COMPANY : NOTICE This consignment will not be
Vehicle Size :
POLICY NO : We are sending Vehicle no PB-23-T-0876 as per your Detained, re-route, diverted or re-
SEAL NUMBER : To
AMOUNT : order.Please arrange to load the same and check up book without consignees /
DELIVERY ADDRESS :
DATE : yourself all the paper of the vehicle before loading.You consignor bank written permission. PUNJAB
RISK : AT CARRIER RISK are requested to insure the goods otherwise the It will be delivered at the
GATE PASS NO. : company is not liable for any loss or damages. destination.

PACKAGING NUMBER OF ARTICLE MATERIAL NAME DESCRIPTION OF GOOD (SAID TO CONTAIN) HSN CODE WEIGHT Rate / KG AMOUNT
TYPE ACTUAL GUARANTEE 1 / KG FREIGHT
12665 KG FREIGHT AMOUNT 12665
OLD IRON SCRAP 72044900
KG HALTING CHARGE
LOAD/UNLOAD CHARGE
SERVICE CHARGE
OTHER CHARGE
TOTAL AMOUNT 12665
RECEIVING USE ONLY REMARK STATUS AUTHENTICATION ADVANCE AMOUNT
RECEIVER NAME : ______________________
BALANCE AMOUNT 12665
RECEIVER NUMBER : RECEIVER SIGN

VALUES OF GOODS : ( RUPEES )

FOR, BALAJI TRANSPORT COMPANY
REMARK :

AUTHORIZE SIGNATURE
BANK ACCOUNT DETAILS
BANK ACCOUNT NUMBER : A/C HOLDER NAME :
IFSC CODE : BANK NAME :
PAN CARD NAME : PAN CARD NUMBER : MIWPS6885D
BRANCH OFFICE ADDRESS:
This electronic generated pdf does not require any physical signature. Date : 2025-07-13 21:18:51
 Terms & Conditions

1) The transport operator hereby agrees to hold itself liable directly to the bank concerned, as if the Bank was a party, of the contract 2) The transport Operator undertakes to deliver the goods in the same order and condition as received. The lorry receipt being surrendered
contained with right of recourse against the Operator, the full value goods handed over for carriage, storage and Delivery, should a Bank to the bank, to its order, or to its assigns, has accepted it for lending and to the collection or discounting of bills of its customers or for
accept this lorry Receipt as a consignee / endorsee or in any other capacity for the purpose of providing advances and / or collection or collection or to its agents. Only the bank and the holder of the receipt entitled to the delivery as aforesaid shall have the right of recourse
discounting of bills of its customer, before or after the Transport Operator has been entrusted the goods. against the operator for any and all claims arising thereon.

3) The right to entrust goods to any other lorry or service for transport of goods shall be with the Transport Operator. If the goods are 4) The consignor is the primary payer of all transport and incidental charges, if any, payable to the Transport Operator at their agreed
entrusted by the transport operator to another entity, the other entity shall be considered the transport operator’s agent, and the transport location.
operator, notwithstanding the delivery of goods, the operator will be responsible for the safety of the goods and for their delivery at the
destination by the hands of the other carrier referred to as the Transport Operator’s agent. 6) Goods lying undelivered can be disposed off by the Transport Operator after 30 days of arrival after delivery to the consignor, bank, and
the holder interested with a 15-day notice of such disposal of goods
5) Perishable goods lying undelivered after 48 hours of arrival can be disposed of by the Transport Operator’s discretion without prior notice
of thereof. 8) The Consignee Bank accepting Lorry Receipt under clause 1 above will not be liable for payment of any charges arising out of any lien of
the transport Operator against the consignor or the buyer. the Transport Operator shall deliver the goods unconditionally to the Bank on
7) In either of the case mentioned above, the bank or the relevant authority shall be entitled to the proceeds and the Transport Operator is to Payment of the normal freight and storage charges only in connection with the consignment in question, without claiming any lien on the
render full accounts immediately after sale deducting freight and demurrage. goods in respect of any monies due by the consignor or the consignee to the Transport Operator on any other account whatsoever.

9) Any Statement made in this lorry receipt or at any time in a circumstance regarding this receipt, the Transport Operator shall observe its 10) The consignor is responsible for all consequences of any incorrect or false declaration.
obligation to the Consignee bank mentioned and will be responsible for safe and due delivery, and for any loss or damage to the goods or
consignment, that arises as a result of negligence, default, failure to take reasonable precautions, maladies or criminal or fraudulent actions of 12) In case any dispute or difference arises between the parties with regard to the terms and conditions of this agreement or relating to the
the Transport Operator or any of his Managers, Agents, Employees, Partners, Directors, Business Associates, Branches etc. interpretation thereof and which could not be solved with mutual understanding then both parties require to approach the local jurisdiction
selected by transporter to resolve the same with legal procedure.
11) The consignment shall be detained, re-routed, re-booked without the consignee’s written and explicit permission. Will be delivered at the
destination.

13) Consignor/Consignee Should have insured their goods. In case of any accident, natural damage or deterioration either the compensation
shall be paid by the Party or Insurance Company Should Settle the Amount.

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