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Form No.3C Consignment Note: Whether Manufacturer or Licenced Dealer (Quote Licence Number and The Issuing Authority)

This document is a consignment note used to track the transport of narcotic drugs. It collects information such as the consignor and consignee names and addresses, description and quantity of drugs being transported, transport details, and signatures acknowledging receipt of the drugs. The note must be serially numbered, the consignor must maintain records of note books used, and all records must be retained for two years and produced during inspections.

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Varun Kumar
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495 views

Form No.3C Consignment Note: Whether Manufacturer or Licenced Dealer (Quote Licence Number and The Issuing Authority)

This document is a consignment note used to track the transport of narcotic drugs. It collects information such as the consignor and consignee names and addresses, description and quantity of drugs being transported, transport details, and signatures acknowledging receipt of the drugs. The note must be serially numbered, the consignor must maintain records of note books used, and all records must be retained for two years and produced during inspections.

Uploaded by

Varun Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM No.

3C
(See rule 52 D)
CONSIGNMENT NOTE
Date and time of dispatch of the consignment :

1 Name and complete postal


address of the consignor
:

2 Whether Manufacturer or
Licenced Dealer
:
(Quote Licence Number and the
Issuing Authority)

3 Name and complete postal


address of the consignee
:

4 Description and quantity of the


consignment :

Particulars of the essential narcotic


Number of
drugs showing Trade Marks, Quantity
packages
Proprietary Names, Batch number, etc.

Gross Net

5 Mode of transport (Particulars of the transporter, Registration number


of the vehicle or Railway Receipt/ Lorry Receipt, if the transport is by :
railway or good transports)

Full Name/ Designation of the Consigner Signature of the Consignor with Date
To be filled by the consignee

6 Date and time of receipt by the consignee


:
and his remarks
7 Whether the consignment received in full as Yes/No (If ‘no’, details to be
per description and quantity mentioned at : mentioned below.)
serial number 4 above

Full Name/ Designation (of consignee) Signature of the Consignee with Date
Note:
1. This consignment not shall be serially numbered on annual basis.
2. The consignor shall record a certificate on cover page of each book containing consignment note indicating the number of pages
contained in the consignment note-book.
3. The consignor shall maintain a Register showing the details of the books of consignment note brought in use during a particular
year.
4. This consignment note shall be retained for a period of two years from the date of transaction.
5. The records referred to in this note shall be produced before the concerned authorized officers whenever called upon during the
course of their inspection/ investigation.

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