Original Tax Invoice Invoice No: I2122/84114854 Invoice Date: 11/09/2021

PhonePe Private Limited Ashford Park View, Site No. 9 Industrial

GSTIN : 29AACCF1132H2ZX Layout, Koramangala 3rd Block, 80 FT
CIN : U67190MH2012PTC337657 Road, Bangalore Karnataka - 560034
PAN : AACCF1132H
STATE CODE: 29

Invoice Details Payment Cross Reference Detail

Original Tax Invoice Transaction Id:
Date: 11/09/2021 NX21091116052949846902791
Transaction Date: Sat Sep 11 16:05:29 IST
2021
Amount of payment: 220.00
Mode of payment: [PHONEPE_WALLET]

Bill to: Hemant Singh Rajput

Place of supply
29-KARNATAKA

IGST CGST SGST

S.No. Item Description SAC Amount Discount Taxable Value
Rate (%) Amt. Rate (%) Amt. Rate (%) Amt.

1 E-Recharge 997158 186.44 -- 186.44 0 0.00 9 16.78 9 16.78

Total invoice value (In figure) Rs 220.00 /-

Total invoice value (In words) Rs Two Hundred Twenty Only

Tax is payable on reverse charge: NO

Reg Office:
Unit No.001, Ground Floor, Boston House, Suren Road, Off.
Andheri-Kurla Road, Andheri (East), Mumbai - 400093

Note: Payment for the invoice has been received through electronic mode prior to generation of invoice and hence
payment reference details has been provided on the invoice for compliance with Dynamic QR code requirement

Signed By: DS PHONEPE PRIVATE LIMITED 1

Signed On: Sat Sep 11 16:05:30 IST 2021