Reliance Retail Limited

2nd Floor, No.62/2, RIL Building, Richmond, Road,

Bangaluru Urban, Bangalore, Bangalore, Karnataka,
560025

(Original for Recipient)

Tax Invoice

Invoice No : 29R22I0004151333 Invoice/Payment Date & Time : 24 May,2021 23:13:55

PAN No : AABCR1718E GST No : 29AABCR1718E1ZL

Order Ref. No. : BR00066R4T9B Payment Ref. No. : 114423425923

Mode of Payment : UPI

Customer Name : Vijay Kumar Gupta Place of Supply : 29 Karnataka

Jio Number : 9019797351 Address : 64, Bengalooru BANGALORE SHIVU

DS,Jaraganahalli near vidya Niketan school Jp
nagar 6th phase, Bengalooru BANGALORE

Sr. Taxable Amount( `)

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

1 Rs 401-1m-90GB 998413 1 401.00 0.00 339.84

Total Taxable Amount 339.84

CGST (9%) 30.58

SGST (9%) 30.58

Total Amount 401.0

Total Amount (in words) Four Hundred One 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: 2021.06.02 04:34:11 IST
Reason: Invoice
Location: 29 Karnataka

Authorized Signatory

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