CLAIM FORM CUM TAX INVOICE

Professional Fee / Travel / Misc. Expenses

Claim Form No.
Name of the Board/Unit:
Name of the Project / Task :

Project / Task assigned by Name :

From : (Name with complete address along with Phone No.)

GSTIN Number: (Mandatory if Registered - Regular Assessee/ Tax Invoice)

Account head to be debited/ Cost Centre: (to be indicated by Board Secretariat)

To, Invoice No. (Mandatory if

Quality Council of India Tax Invoice):
2nd Floor, Institution of Engrs. Bldg.
Date (Mandatory):
Bahadur Shah Zafar Marg
New Delhi - 110 002
GSTIN: 07AAATQ0055D1Z0

Sl. Date HSN/SAC Particulars Amount (Rs.)

No.

INR

Please pay by cheque/draft payable at ____________

drawn in favour of ___________________________
OR

RTGS DETAIL: (IN CAPITAL LETTERS)

NAME:
BANK NAME:
BRANCH:
IFSC:
ACCOUNT NO:

PAN :*
NAME & SIGN
* Please enclose a copy, if invoice is being submitted to QCI for the first time