GOODS CONSIGNMENT NOTE GST: 07AAACQ6044M1Z7
G C Note No.: DOM-25260070096
Date : 20-Jul-25 Mode : Road CONSIGNEE COPY
Schedule of Demurrage Charges AT OWNERS RISK / CARRIER RISK Address of Delivery Office
Demurrage is chargable after 1 day of INSURANCE : The Consignor has stated that he has / has not State :
insured the consignment.
arrival/placement. Insurance Company : ________________________ DOOR Delivery
From date : _________ @Rs._________ Policy Number : ________________ Date : ______
Amount : ________________ Risk : ____________
Per Day
From JAMSHEDPUR (JH) To: RANCHI (JH)
Consignor: Mr. Bhola Nath Paul Consignee: Mr. Bhola Nath Paul
Address: Flat No. - 201, Balaji Tower, Road no. Address: Dayal Nagar, Near Guru Kripa
19, Adityapur 2, Seraikella-Kharsawan, School, Tel mill road, Piska More, Ranchi,
Jharkhand-831013 Jharkhand- 834001
Contact Numbers +91 7004156167 Contact Numbers +91 7004156167
Consignor's GST No. : URP Consignee's GST No.: URP
Invoice No. : N/a E-way Bill No. : N/a
Date : N/a Date : N/a
DESCRIPTION
PACKAGES/ITEMS METHOD OF PCKING WEIGHT (kg) RATE (Rs.) AMOUNT Rs/Ps
(SAID TO CONTAIN)
Cardboard Household Goods
_______Pkgs Corrugated Boxes and Personal Effects
N/A N/A FIXED
as per list & Parcels & Scooter ________
NOT FOR SALE Total
Vehicle No :
f
Value of Goods ₹ 200,000.00
Signature Consignor/Client Signature Consignee/Client For
Sender's Sign with Stamp Reciever's Sign with Stamp
Name Received all items in good condition and unloaded Authorised Signatory
total items as mentioned. (Transport Operator)
Name
Phone No.
ID Number
Regd. Office : A-403, Munirka Apartment,
Plot No. 11, Sector 9, Dwarka, New Delhi
110075 Delhi, INDIA
M : +918368284251, H +911145657414
mail
[email protected] www.quixmoving.com
GOODS CONSIGNMENT NOTE GST: 07AAACQ6044M1Z7
G C Note No.: DOM-25260070096
Date : 20-Jul-25 Mode : Road CONSIGNEE COPY
DRIVER COPY
Schedule of Demurrage Charges AT OWNERS RISK / CARRIER RISK Address of Delivery Office
Demurrage is chargable after 1 day of INSURANCE : The Consignor has stated that he has / has not State :
insured the consignment.
arrival/placement. Insurance Company : ________________________ DOOR Delivery
From date : _________ @Rs._________ Policy Number : ________________ Date : ______
Amount : ________________ Risk : ____________
Per Day
From: JAMSHEDPUR (JH) To : RANCHI (JH)
Consignor: Mr. Bhola Nath Paul Consignee: Mr. Bhola Nath Paul
Address: Flat No. - 201, Balaji Tower, Road no. 19, Address: Dayal Nagar, Near Guru Kripa School,
Adityapur 2, Seraikella-Kharsawan, Jharkhand- Tel mill road, Piska More, Ranchi,
831013 Jharkhand- 834001
Contact Numbers +91 7004156167 Contact Numbers +91 7004156167
Consignor's GST No. : URP Consignee's GST No.: URP
Invoice No. : N/a E-way Bill No. : N/a
Date : N/a Date : N/a
DESCRIPTION
PACKAGES/ITEMS METHOD OF PCKING WEIGHT (kg) RATE (Rs.) AMOUNT Rs/Ps
(SAID TO CONTAIN)
Cardboard Household Goods
_______Pkgs Corrugated Boxes and Personal Effects
as per list & Scooter ________
N/A N/A FIXED
& Parcels
NOT FOR SALE Total
Vehicle No : 0 Value of Goods ₹ 200,000.00
Signature Consignor/Client Signature Consignee/Client For
Sender's Sign with Stamp Reciever's Sign with Stamp
Name Received all items in good condition and unloaded Authorised Signatory
total items as mentioned. (Transport Operator)
Name
Phone No.
ID Number
Regd. Office : A-403, Munirka Apartment,
Plot No. 11, Sector 9, Dwarka, New Delhi
110075 Delhi, INDIA
M : +918368284251, H +911145657414
mail
[email protected] www.quixmoving.com
GOODS CONSIGNMENT NOTE GST: 07AAACQ6044M1Z7
G C Note No.: DOM-25260070096
Date : 20-Jul-25 Mode : Road CONSIGNEE COPY
CONSIGNOR COPY
Schedule of Demurrage Charges AT OWNERS RISK / CARRIER RISK Address of Delivery Office
Demurrage is chargable after 1 day of INSURANCE : The Consignor has stated that he has / has not State :
insured the consignment.
arrival/placement. Insurance Company : ________________________ DOOR Delivery
From date : _________ @Rs._________ Policy Number : ________________ Date : ______
Amount : ________________ Risk : ____________
Per Day
From: JAMSHEDPUR (JH) To : RANCHI (JH)
Consignor: Mr. Bhola Nath Paul Consignee: Mr. Bhola Nath Paul
Address: Flat No. - 201, Balaji Tower, Road no. 19, Address: Dayal Nagar, Near Guru Kripa School,
Adityapur 2, Seraikella-Kharsawan, Jharkhand- Tel mill road, Piska More, Ranchi,
831013 Jharkhand- 834001
Contact Numbers +91 7004156167 Contact Numbers +91 7004156167
Consignor's GST No. : URP Consignee's GST No.: URP
Invoice No. : N/a E-way Bill No. : N/a
Date : N/a Date : N/a
DESCRIPTION
PACKAGES/ITEMS METHOD OF PCKING WEIGHT (kg) RATE (Rs.) AMOUNT Rs/Ps
(SAID TO CONTAIN)
Cardboard Household Goods
_______Pkgs Corrugated Boxes and Personal Effects
as per list & Scooter ________
N/A N/A FIXED
& Parcels
NOT FOR SALE Total
Vehicle No : 0 Value of Goods ₹ 200,000.00
Signature Consignor/Client Signature Consignee/Client For
Sender's Sign with Stamp Reciever's Sign with Stamp
Name Received all items in good condition and unloaded Authorised Signatory
total items as mentioned. (Transport Operator)
Name
Phone No.
ID Number
Regd. Office : A-403, Munirka Apartment,
Plot No. 11, Sector 9, Dwarka, New Delhi
110075 Delhi, INDIA
M : +918368284251, H +911145657414
mail
[email protected] www.quixmoving.com
