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ROAD CHALLAN ISSUING BRANCH & DATE

ROAD CHALLAN RANGE

GATEPASS RANGE

Station

FROM

FROM

Date

TO

TO

Rd. Ch. As

Rd. Ch. No

GP No

Thekedar

Last Rd. Ch

Last GP

CN No.

CN Date

CN From

Consignor

CNGR GSTIN

VOG

Consignee

CNGE GSTIN

Packages

Goods Name

Pack. Type

Pvt. Marka

Actual Wt.

Charge Wt.

CN Freight

Party Name

Rebate

Reb. Amount

Dem. Chgs

Doc. Chgs

M/H Chgs

Othr Chgs

Nett Amount

Add. Line 1

Add. Line 2

Delivery At

Remarks

MR Remarks

CN Number	Gatepass No.	CN Date	From	Destination

Cal Base	Package	A.Weight	C.Weight	VOG	RC Rate	CN Rate

	(AS PER CN)		(LESS REBATE)
Less Weight :
Freight :
Cartage :		(Rebate Rate)
O.S.C. :		Rate(Pkg Wise)
LC :
RC :
BC :
S.C. :
PF :
DDC/Sur/Sec/FOV/ECC/Others :
C.P.C. :
CN Total :
Demurrage :
Remarks :		Total Rebate :

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S. No.		STATION NAME	Delivery ADDRESS