Reliance Retail Limited

C/o. Reliance Corporate IT Park Limited, 17th And 18th

Floor, Plot No. 5, Godrej, Waterside, Sector-v, Electronics
Complex, Salt Lake City, Kolkata, West Bengal,
700091

(original for Recipient)

Tax Invoice
Invoice No : 19R229999180053 Invoice/Payment Date & Time : 11 may, 2023 10:14:11
PAN No : AABCR1718E GST No : 19aabcr1718e1zm
Order Ref. No. : TB0000QJ56Z Invoice Reference No. : null

Customer Name : Abul Khair Place of Supply : 19 West Bengal

Jio Number : 3533550368 Customer Address : 1st Floor, de house, East Vivekanand Pally,
Customer GST No : null Rabinda nagar main road silliguri, Darjeeling,
West Bengal, 734006

Sr. Item Name HSN/SAC Qty Price.Unit( ) Discount( ) Value( )

No.

1 JioFiber_1M_699 998422 1 631.01 0.00 631.01

Total Texable Charges 631.01

CGST (9%) 56.79

SGST (9%) 56.79

Total Value( ) 744.59

Total Amount (in words) Seven Hundred Forty Four Rupees Fifty Nine Paise Only
Telecommunication services to be provided by reliance Jio Infocomm Limited
Platform services to be provided by Jio Platforms 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
Digital signed by DS RELIANCE RETAL LIMITED
Date: 2021.05.11 11:05: IST
Reason: Invoice
Location: 19 West Bengal

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