FORM - XXXVIII Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 (3)(a) of UPVAT Rules, 2008] Form of declaration for import (Second copy) Date of issue --------------- Serial No ------------------------TIN Name and full address of the dealer to whom form issued w.e.f. [Seal of the issuing authority] d d m m y y y y [Circle/Sector] [The above entries to be filled in by the issuing authority] 1. 2. 3. 4. 5. 6. 7. 8. Description of goods Weight/Measure Quantity Value in figure Value in words Bill/cash memo/ challan/tax invoice number & date Name and address of seller / consigner TIN I, ------------------------------------------------------------- , the authorized signatory of the above named dealer; do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Signature of authorized signatory 1. 2. 3. 4. 5. 6. Name & address of the Transporter / carrier etc. Service Provider no. of the carrier, if any Carrier/ Truck no. Name & address of Driver Driving License No. Signature of the vehicle driver. FORM - XXXVIII Department of Commercial Taxes, Government of Uttar Pradesh [See rule-54 (3)(a) of UPVAT Rules, 2008] Form of declaration for import (Original copy) Date of issue -------- ---- Serial No ------------------------TIN Name and full address of the dealer to whom form issued w.e.f. [Seal of the issuing authority] d d m m y y y y [Circle/Sector] [The above entries to be filled in by the issuing authority] 1. 2. 3. 4. 5. 6. 7. 8. Description of goods Weight/Measure Quantity Value in figure Value in words Bill/cash memo/ challan/tax invoice number & date Name and address of seller / consigner TIN I, ------------------------------------------------------------- , the authorized signatory of the above named dealer; do hereby declare that the goods noted above are being imported/received/brought by the aforesaid dealer. Signature of authorized signatory 1. 2. 3. 4. 5. 6. Name & address of the Transporter / carrier etc. Service Provider no. of the carrier, if any Carrier/ Truck no. Name & address of Driver Driving License No. Signature of the vehicle driver.