Reliance Retail Limited

10th International Trade Tower, Nehru Place, South Delhi,

Delhi South Delhi Delhi 110019

(Original for Recipient)

Tax Invoice

Invoice No : A7R22I0007677976 Invoice/Payment Date & Time : 29 Jun,2021 12:26:00

PAN No : AABCR1718E GST No : 07AABCR1718E1ZR

Order Ref. No. : BR0006B365BP Payment Ref. No. : 118043111923

Mode of Payment : UPI

Customer Name : Sanjeet Kumar Place of Supply : 07 Delhi

Jio Number : 7835990999 Address : 112A G OR H BLOCK SITA PURI PART 2

GALI N04 112A G OR H BLOCK SITA PURI
PART 2 GALI N04 Delhi 110059

Sr. Taxable Amount( `)

Plan Details SAC Qty MRP/Unit( `) Discount( `)
No.

1 Rs 2399-12m-2GB/D 998413 1 2399.00 0.00 2033.06

Total Taxable Amount 2033.06

CGST (9%) 182.97

SGST (9%) 182.97

Total Amount 2399.00

Total Amount (in words) Two Thousand Three Hundred Ninety Nine Rupees Only

Telecommunication services to be provided by Reliance Jio Infocomm Limited

All disputes are subjected to Mumbai Jurisdiction
Tax is not payable under Reverse Charge basis for this supply.

Declaration : Certified that all the particulars given above are true and correct

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2021.08.04 12:47:12 IST
Reason: Invoice
Location:

Authorized Signatory

Registered Office: Reliance Retail Limited 3rd floor, Court House, Lokmanya Tilak Marg, Dhobi Talao, Mumbai - 400002
CIN: U01100MH1999PLC120563 www.relianceretail.com