Goods and Services Tax – GST ITC – 04 – 1[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 (includes inputs/capital goods directly sent to place of business /premises of job worker) GSTIN / State in case of unregister ed 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 (A) Details of inputs
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GSTIN / State of job worker if unregistered Challan No. issued by job worker under which goods have been received back Date of challan issued by job worker under which goods have been receive d back Description of goods UQC Quantity Original challan No. under which goods have been sent for job work Original challan date under which goods have been sent for job work Natur e of job work done by job worke r Losses & wastes UQC Quantity 1 2* 3* 4 5 6 7* 8* 9 10 11 (C) Details of inputs/ Capital goods sent to job worker and subsequently supplied from premises of job worker; and losses and wastes: GSTIN / State of job worker if unregister ed Invoice No. in case supplied from premise s of job worker issued by the Principal Invoice date in case
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for job work and goods received back after job work is not possible. 6. Verification I hereby solemnly affirm and declare that the information given hereinabove 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…………………] ******** Notes 1. Substituted vide Notification No. 39/2018 – Central Tax dated 04-09-2018 before it was read as "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 g
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