Form GST ITC-04 (Details of goods/capital goods sent to job worker and received back)

Form GST ITC-04

[See rule – 45(3)]

 

Details of goods/capital goods sent to job worker and received back

 

1. GSTIN –
2. (a) Legal name –

(b) Trade name, if any –

3. Period: Quarter –                                  Year –

 

4. Details of inputs/capital goods sent for job-work

 

GSTIN                      / State in case of unregistered job- worker	Challan no.	Challan date	Description of goods	UQC	Quantity	Taxable value	Type of goods (Inputs/capital goods)	Rate of tax (%)
								Central tax	State/ UT tax	Integrated tax	Cess
1	2	3	4	5	6	7	8	9	10	11	12

 

 

5. Details of inputs/capital goods received back from job worker or sent out from business place of job-work

 

GSTIN / State of job worker if unregistered	Received back/sent out to another job worker/ supplied from premises of job worker	Original challan No.	Original challan date	Challan details if sent to another job worker			Invoice details in case supplied from premises of job worker		Description	UQC	Quantity	Taxable value
				No.	Date	GSTIN/ State if job worker unregistered	No.	Date
1	2	3	4	5	6	7	8	9	10	11	12	13

 

6. Verification

 

 

I hereby solemnly affirm and declare that the information given herein above is true and correct to the best of my knowledge and belief and nothing has been concealed therefrom.

 

 

Signature

Place                                                                                                                      Name of Authorised Signatory ….……………………

Date                                                                                                                        Designation /Status……………………………………

 

Download Form GST ITC-04 in Word Formats