FORM GST MOV-04

PHYSICAL VERIFICATION REPORT

Ref: FORM GST MOV-02 No.__________ Dated

The physical verification of the goods conveyance bearing No. __________ has been conducted in the presence of Shri __________________ owner / person in charge of the goods vehicle. The details of the physical verification are as under:-

PHYSICAL VERIFICATION REPORT
Date of Physical Verification  
Goods Conveyance number  
Name of the Transporter  
Sl. No Transport Document/ LR No. & Date Tendered Invoice / Documents No. & Date Description of goods as per invoice including HSN code Description of goods in the conveyance Quantity as per invoice Quantity as per physical verificati on

Diff.
1.              
Date: Date:          
2.              
Date: Date:          

I hereby declare that the physical verification of the goods and conveyance mentioned above has been conducted in my presence and I accept that the contents recorded in this report are true and correct.

Signature of the Owner /Person in charge

                Signature
Designation of the Proper Officer

ACKNOWLEDGEMENT :
I hereby duly declare that I have received a copy of the above report of physical verification.
 

Signature of the Owner /
Person in charge