Original For Consignee/duplicate For Transporter/triplicate For Consignor(For Goods)

Delivery Challan (Defective)

Transportation Mode:

Veh. No:
GSTIN of Consignor:
Date And Time of Supply:
Name of Consignor: B.D. ENTERPRISE
Address of Consignor: H/No-204, W/No-11, S.K.Deb.Roy Place of Supply: Maharashtra
Road, Krishna Nagar - 782435
HOJAI Challan Date: 2024-07-01 19:23:04 PM
ASSAM
782435
Courier Name:
INDIA
Serial No. of Ref. No: GRN-000095034
Date of Ref. No: Docket No:
State: ASSAM
Phone: 9707203984 Weight:

Total Qty: 67

Bill To: Ship To:

Name of Consignee : ATOMBERG TECHNOLOGIES PVT. Name of Consignee : ATOMBERG TECHNOLOGIES PVT.
LTD C/O DHL Supply Chain India Pvt. LTD C/O DHL Supply Chain India Pvt.
Ltd. Ltd.
Address of Consignee: P2, Ascendas First Space (Power of Address of Consignee: P2, Ascendas First Space (Power of
One), Karanja Vihire, One), Karanja Vihire,
Talegaon Talegaon
Maharashtra Maharashtra
410507 410507
India India
GSTIN/Unique ID No. of Consignee: 27AAKCA4836H1ZI GSTIN/Unique ID No. of Consignee: 27AAKCA4836H1ZI
State: Maharashtra State: Maharashtra
Phone: Phone:

Sr. Description of HSN code of Unit/Unique Quantity Rate Taxable SGST CGST IGST
Qty Total Discount
No goods/service Goods/service Code (peritem) Value Rate Amt Rate Amt Rate Amt
1 EA08101-PCB_White LED_Efficio Alpha/Enzel _GV5 84149030 1 NOS 520.00 520.00
2 A141701-Surge Protection Device Module Assembly_CF 34 NOS 120.00 4080.00
3 SA0011-Consolidate PCB GV3_CF_Renesa+_GV3 85340000 2 NOS 520.00 1040.00
4 EA08401-PCB_Renesa Prime_GV5 (Capacitor) 3 NOS 520.00 1560.00
A1C0014-PCB_Erica/Ameza/Renesa Zen_GV5
5 1 NOS 510.00 510.00
(STM8s,70micron single LED)
6 SA0060-Power PCB (Without Potting) BL_CF_Renesa_GV3 85340000 5 NOS 520.00 2600.00
7 SA0019-Consolidate PCB GV2_CF__Efficio_GV2 85340000 1 NOS 550.00 550.00
EA04101-PCB_Renesa/Renesa+/Ikano/Sudio+ STM8s,
8 85340000 20 NOS 550.00 11000.00
70micron (6 LED)_GV5
Invoice Value (In words) Total 21860.00

Twenty One Thousand Eight Hundred Sixty Rupess Only Amount Of Tax

Freight Charges

Loading and Packing Charges

Insurance charges

Other Charges

Invoice Total

Terms And Conditions

Certified that the particulars given above are true And Correct
Signature Supplier/Authorised Signatory

Supply Under Warranty - Circular No. 195/07/2023-GST (Not For Sale)