Statement of The Owner / Driver/ Person In Charge of The Goods And Conveyance

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....o. _____________________(Vehicle Number) made before the _________ (Designation of the proper officer) on DD/MM/YYYY at_________AM/PM at________________(place). Today, you have intercepted the above mentioned conveyance and after disclosing your identity, you have requested me to produce my credentials and the documents relating to the goods in movement for your verification. In this regard, I h....

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....ned as correct.   I hereby further declare that, except the documents mentioned in the Annexure to this statement which have been tendered to you, there are no other documents with me or in the conveyance relating to the goods in movement.  The facts recorded in this statement are as per the submissions made by me and the contents of the statement were explained to me once again in t....