1st copy (for Lease Holder)
Form J
Uttarakhand mineral (Prevention of illegal mining, transportation and storage) rules, 2021.
e-Transit pass form for transportation & minor mineral from stock see rule 70(1).
Owner : Nssc Infratech Llp Registration : SC67024181
Name Nssc Infratech Llp Form No : IJ24181008826
Lease :Vill- Ratanpuri, , Teh: Bajpur, Dist: US Nagar, UK Date & Time: 08/09/2025 1:44:11 PM
Address GSTIN : 05AAPFN2788R1Z8
01.Type of Vehicle : Truck/Dumper 02. Registration No. of Vehicle : UK06CC8000 UKDGMAAA03421014
03. Name of Driver : SHANTIPRAKA 04. Mobile No of Driver : 9917032591
05. Name of Mineral : Grit 06.Weight of Mineral (In Tons) : 57.20
07. Sale value (before Tax) : ₹ 34320.00 08. Payble CGST : ₹ 858.00
09. Payble SGST : ₹ 858.00 10. MRC : ₹ 572.00
11. Name of Purchaser: : SHIVAM CONTRACTOR SUPPLIER 12. GSTIN of purchaser:
13. Registration No of : Unregistered 14. Address of destination : NCC LIMITED Satellite Centre Of AIIMS
purchaser KICHHA, Vill Khurpia Farm, Dist: US Nagar,
15. Distance : 48 km UK
This form is valid up to: 08/09/2025 5:44:11 PM
2nd Copy (for Transporter/Consumer/Storage/Works Department)
Form J
Uttarakhand mineral (Prevention of illegal mining, transportation and storage) rules, 2021.
e-Transit pass form for transportation & minor mineral from stock see rule 70(1).
Owner : Nssc Infratech Llp Registration : SC67024181
Name Nssc Infratech Llp Form No : IJ24181008826
Lease :Vill- Ratanpuri, , Teh: Bajpur, Dist: US Nagar, UK Date & Time: 08/09/2025 1:44:11 PM
Address GSTIN : 05AAPFN2788R1Z8
01.Type of Vehicle : Truck/Dumper 02. Registration No. of Vehicle : UK06CC8000 UKDGMAAA03421014
03. Name of Driver : SHANTIPRAKA 04. Mobile No of Driver : 9917032591
05. Name of Mineral : Grit 06.Weight of Mineral (In Tons) : 57.20
07. Sale value (before Tax) : ₹ 34320.00 08. Payble CGST : ₹ 858.00
09. Payble SGST : ₹ 858.00 10. MRC : ₹ 572.00
11. Name of Purchaser: : SHIVAM CONTRACTOR SUPPLIER 12. GSTIN of purchaser:
13. Registration No of : Unregistered 14. Address of destination : NCC LIMITED Satellite Centre Of AIIMS
purchaser KICHHA, Vill Khurpia Farm, Dist: US Nagar,
15. Distance : 48 km UK
This form is valid up to: 08/09/2025 5:44:11 PM
3rd Copy (for the Inspection Team)
Form J
Uttarakhand mineral (Prevention of illegal mining, transportation and storage) rules, 2021.
e-Transit pass form for transportation & minor mineral from stock see rule 70(1).
Owner : Nssc Infratech Llp Registration : SC67024181
Name Nssc Infratech Llp Form No : IJ24181008826
Lease :Vill- Ratanpuri, , Teh: Bajpur, Dist: US Nagar, UK Date & Time: 08/09/2025 1:44:11 PM
Address GSTIN : 05AAPFN2788R1Z8
01.Type of Vehicle : Truck/Dumper 02. Registration No. of Vehicle : UK06CC8000 UKDGMAAA03421014
03. Name of Driver : SHANTIPRAKA 04. Mobile No of Driver : 9917032591
05. Name of Mineral : Grit 06.Weight of Mineral (In Tons) : 57.20
07. Sale value (before Tax) : ₹ 34320.00 08. Payble CGST : ₹ 858.00
09. Payble SGST : ₹ 858.00 10. MRC : ₹ 572.00
11. Name of Purchaser: : SHIVAM CONTRACTOR SUPPLIER 12. GSTIN of purchaser:
13. Registration No of : Unregistered 14. Address of destination : NCC LIMITED Satellite Centre Of AIIMS
purchaser KICHHA, Vill Khurpia Farm, Dist: US Nagar,
15. Distance : 48 km UK
This form is valid up to: 08/09/2025 5:44:11 PM
