FORM XXXIIIA
Declaration for obtaining A Transit Pass
(See Rule 46A(1) of A.P.G.S.T. Rules, 1957)


To

The Officer-in-charge,

Commercial Taxes Check Post.

____________________________(Printed)


I________________________________________________________________________________
S/o______________________________________________________________________resident 
of _________________________________________________________________________________________ (full address) hereby declare that I am the owner/driver/person-in-charge of the goods vehicle bearing No______________________belonging to __________________________________________________________________________________

(Name and full address of the owner/transport agency).

(2) I hereby declare that the consignments detailed in the Annexure being carried by the above vehicle are
      for delivery in the other States. These goods will not be unloaded or delivered anywhere in the state of
     Andhra Pradesh.

(3) I also declare that my vehicle will cross Andhra Pradesh border through the last check 
      post at _____________________________________ on or before __________________________ (date) by
       ______________________________hours.

(4) I further declare that the information furnished in this declaration including the Annexure is true and complete to the best 
      of my knowledge and belief.


Date                                                                                                                                                                    Signature:    

Time:                                                                                                                                                                   Status



 ANNEXURE

 

(1)  Description of goods               :  
 

(2) Quantity                        :  

(3)  Value                            :  
 

(4)  Name and full address  
       of the consignor.                :

 

(5) Name and full address  
        of the consignee                     :

 

 

(6) Sale Bill No. and Date.                :


(7)  Way Bill/Delivery note/  
        Stock transfer Memo No.       :

 

(8) L.R. No. and Date.                      :

 

(9)Permanent address of the driver
     with driving licence No.

 

(10)  Name and full address of the Head  
         Office/Branch of the transport  
         Agency in Andhra Pradesh                     :

 

 

 

(11) Name and full address of the Head  
        Office of the transport agency  
        In the other State                            :

 

   

 

 

                                                                                                                                Signature:  
                                                                                                                                  Status: