Reliance Retail Limited

Plot No.210 and 233, Dudheshwar Nath Compleax,, Bailey

Road, Rupaspur, Patna, Bihar, Patna, Bihar, 800014

(Original for Recipient)

Tax Invoice

Invoice No : 10R22I9999996682 Date : 16 Jan,2022

PAN No : CIKPS6907C GST No : 10AABCR1718E1Z4

Order Ref No: TB00000O6Z6B

Customer Name : Arvind Kumar Sharma Place of Supply : 10 Bihar

Jio Number : 300563242108 Customer Address : -Pakadi ward no. 11 ward no 15,
Town/vill - Ara Kashyap nagar,
Anchal-Ara near Pokhra street no
05, New Police line Arrah,

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

1 Gold_1M_999 998422 1 846.62 0.00 846.62

Total Taxable Charges 846.62

CGST (9%) 76.19

SGST (9%) 76.19

Total Value(₹) 999.00

Total Amount (in words) Nine Hundred Ninety Nine 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: 2022.01.16 10:21:01 IST
Reason: Invoice
Location: 10 Bihar

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

Plot No.210 and 233, Dudheshwar Nath Compleax,, Bailey Road, Rupaspur, Patna, Bihar, Patna, Bihar, 800014

(Original for Recipient)

Payment Receipt
Payment Receipt No : TB00000O6Z6B Date : 16 Jan,2022

Order Ref No : TB00000O6Z6B

Customer Address : -Pakadi ward no. 11 ward no 15,

Customer Name : Arvind Kumar Sharma Town/vill - Ara Kashyap nagar, Anchal-
Ara near Pokhra street no 05, New
Jio Number : 300563242108 Police line Arrah, Bhojpur, Bihar,
802301

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

1 JioFiber_1M_999 1 999.00 999.00

Total Amount (₹) 999.00

Total Amount (in words) Nine Hundred Ninety Nine Only

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