Reliance Retail Limited

Gr. Floor, Reliance Corporate IT Park Ltd, 5 TTC Industrial,

Area, Thane-Belapur Road, Ghansoli, Navi Mumbai, Navi
Mumbai, Maharashtra, 400701

(Original for Recipient)

Tax Invoice

Invoice No : 27R24I0218178666 Invoice/Payment Date & Time : 16 May,2024 13:08:19

PAN No : AABCR1718E GST No : 27AABCR1718E1ZP

Order Ref. No. : BR000ADPNBH7 Payment Ref. No. : pay_NPCiq3Y4pd5zus

Mode of Payment : UPI

Mohmad Irshad Janmohmad
Customer Name : Place of Supply : 27 Maharashtra
Mansuri
Jio Number : 8000028800 Address : 203, PANCHAND HEIGHT SECTOR 9, New
Mumbai,PLOT NO 15 18 TALOJA PHASE 1,
New Mumbai, Maharashtra, 410206

Sr. Taxable Amount( `)

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

1 Rs 666-84D-1.5GB/D 998413 1 666.00 0.00 546.12

Total Taxable Amount 546.12

CGST (9%) 59.94

SGST (9%) 59.94

Total Amount 666.00

Total Amount (in words) Six Hundred Sixty Six 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: 2024.05.20 17:41:15 IST
Reason: Invoice
Location: 27 Maharashtra

Authorized Signatory

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