Reliance Retail Limited

C-51 Yard, Plot No.9, Road No.8, APIIC IDA Park,

Thammavaram Village, Vakalpudi, Kakinada, Dist-East
Godavari Kakinada Andhra Pradesh 533005

(Original for Recipient)

Tax Invoice

Invoice No : 28R21I9999128464 Date : 03 Dec, 2020

PAN No : AABCR1718E GST No : 37AABCR1718E1ZO

Order Ref No : TB00000GVG4B Invoice Reference No : null

Customer Name : Malipeddi Mukesh Place of Supply : 37 Andhra Pradesh

Jio Number : 8703553151 Customer Address : 11-27-49 Warangal, warangal,

Warangal, Bank colony 1
Customer GST No : null kothawada, Near hanuman temple
Warangal Andhra Pradesh

Sr. HSN/SAC
Item Name Qty Price/Unit( `) Discount( `) Value( `)
No.

1 JioFiber_1M_999 998422 1 744.02 0.00 744.02

Platform Services -
2 998439 1 119.00 0.00 119.00
JioFiber_1M_999

Total Taxable Charges 863.02

CGST (9%) 77.67

SGST (9%) 77.67

Total Value( `) 1018.36

Total Amount (in words) One Thousand Eighteen Rupees And Thirty Six 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

Digitally signed by DS RELIANCE RETAIL LIMITED

Date: 2021.01.04 10:14:18 IST
Reason: Invoice
Location: 37 Andhra Pradesh

Digital Signature

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

C-51 Yard, Plot No.9, Road No.8, APIIC IDA Park, Thammavaram Village, Vakalpudi, Kakinada, Dist-East Godavari
Kakinada Andhra Pradesh 533005

(Original for Recipient)

Receipt

Receipt No : 28R21R9999128464 Date : 03 Dec, 2020

PAN No : AABCR1718E GST No : 37AABCR1718E1ZO

Order Ref No : TB00000GVG4B

Customer Name : Malipeddi Mukesh Place of Supply : 37 Andhra Pradesh

Jio Number : 8703553151 Customer Address : 11-27-49 Warangal, warangal,

Warangal, Bank colony 1 kothawada,
Customer GST No : null Near hanuman temple

Sr. Plan Details SAC Qty MRP/Unit( `) Total( `)

No.

1 RRFL FinInstlmnt 01M 0 1 160.46 160.46

Total Amount( `) 160.46

Total Amount (in words) One Hundred Sixty Rupees And Forty Six Paise Only

Declaration : Certified that all the particulars given above are true and correct.

This is a computer generated invoice, hence does not require signature.

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

C-51 Yard, Plot No.9, Road No.8, APIIC IDA Park, Thammavaram Village, Vakalpudi, Kakinada, Dist-East Godavari
Kakinada Andhra Pradesh 533005

(Original for Recipient)

Payment Receipt

Payment Receipt No : TB00000GVG4B Date : 03 Dec, 2020

Order Ref No : TB00000GVG4B

Customer Address : 11-27-49 Warangal, warangal,

Customer Name : Malipeddi Mukesh Warangal, Bank colony 1 kothawada,
Near hanuman temple Warangal
Jio Number : 8703553151 Andhra Pradesh 506002

Sr. No. Plan Details Qty MRP/Unit( `) Total( `)

1 JioFiber_1M_999 1 1178.82 1178.82

Total Amount ( `) 1178.82

Total Amount (in words) One Thousand One Hundred Seventy Eight Rupees And Eighty Two

Declaration : Certified that all the particulars given above are true and correct.

This is a computer generated payment receipt, hence does not require signature.

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