OEM Logo
[dlr_name]
(Authorised Dealer for [brand_name] Sales, Service and Spares)
Dealer Logo
GSTIN - [dlr_gst]
[dlr_adrs],
[dlr_loc] - [dlr_pin].
Mobile No. - [dlr_phno]
Delivery Challan
Delivery Note No : [dc_no]
Branch Location : [branch_loc]
Customer Name : [cust_name]
Father Name : [father_name]
Address : [cust_adrs]
Village : [cust_village]
[hypo_to] [hypo_loc]
Date : [dc_date]
Mobile No : [cust_phno]
Mode Of Sale : [mos]
Material Name Material Desc Chassis No / Engine No Color Qty
[mtrls]
OEitem Make TyreType Size Serial No
[oe_items]
Policy Number Insurer Name Coverage Type Premium (₹) Service Tax (%)
[insurance_table]
E & OE
Terms and Conditions:
[tnc]

For [dlr_name]
Authorised Signatory
[date] [time]
Created By : [user]
Customer Signature
Authorised Signatory