DSA Name - SRIRAMA HONDA

Tax Invoice
Original for Recipient

To,
HDFC Bank Ltd.
DSA Code - 370329
NAME OF DSA - SRIRAMA HONDA
DSA Address :
PROP - MONINGI SAGAR
PLOT-1244/2,KHATA NO 321 808
JAGANNATH ROAD,GUNUPU
RAYAGADA
ORISSA
765022
Bank Ref No. : 370329TW122201
DSA Invoice Number : SRH/06/22-23
Invoice Date : 01-01-2023
POS State Bank Address :
UNIT-3, 381/5/A & 381/5/C, KHARVEL NAGAR, JANPATH, BHUBANESHWAR, ODISHA, KHORDHA - 751001.
State GST No : 21AAACH2702H1ZC
DSA commission is inclusive of Goods & Service Tax for the Month of December'22
Product Name - TWO WHEELER LOAN

Particulars HSN Code Amount (Rs.)

Commission 997119 9851.37
ADD CGST @9% 997119 886.62
ADD SGST @9% 997119 886.62
ADD UTGST @9% 997119 0.00
ADD IGST @18% 997119 0.00
Total 11624.61

DSA GST No. : 21ARAPM0406F2ZN

DSA Pan No. : ARAPM0406F
Bank Pan No. : AAACH2702H
POP State Name : ORISSA
POP State Code : 21
POS State Name : ORISSA
POS State Code : 21

Whether the tax is payable under RCM –Yes

Signature
(DSA's Signature)